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STATE OF FLORIDA 4~1~a3
DEPARTMENT OF REVENUE
~..~~~='''~4 TALLAHASSEE. FLORIDA 323W4
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NONTAXABLE CERTIFICATE AND RECEIPT
RANDY MILLER FOR ESTATE TAX
EXECUTIVE DIRECTOR
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TO • -G--T . R1"tuL1T,..8f't'~ ~ RE: The Esuts of uQOC~h j~b;~
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R41.Q-$ FBG;. HWX DECEASED ZT~,Tg~
-Ft--$tr~ .jrL~A~6T-R~a--~~,4,~,~ RESIDENT OF n.~ ~ T _ COUNTY. _
STATE OF i,,~,i_
DATE: ~~~CB,a
Dorothy Roegel, Spouse _
- E 83799
THIS IS TO CERTIFY, That in accordance1vvith the provisions of Chapter 198,
Florida Statutes, there has been filed with this office a sworn report or return for Estate
Taxes as required by law and on the basis thereof it has been ascertained the above estate
is not subject to the Florida Estate Tax. The issuance of this certificate, however, shall
not preclude the assessment and collection of Estate Taxes subsequently determined to be
due the State of Florida.
If proof of non liability by the above estate for the Florida Estate Tax is required
by any person this Certificate may be exhibited as evidence of such non liability. ~
Given in quadruplicate under my hand and the seal of the State of Florida.
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1, - ~ J.{. = Executive Director
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Not valid without seal affixed. ~ ~ ~ `4~ ~ " ~
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