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' STATE OF FLORI[3A
DEPARTMENT OF REVENUE
~..d~E ~'+Q -TALLAHASSEE. FLORIDA 32304
NONTAXABLE CERTIFICATE AND RECEIPT
RANGY MILLER FOR ESTATE TAX
EXECUTIVE OIRFCTOR
Joseph Kuharcik RE: The Eststsoi DeCicco , James R
P. 0. BOX 10642 DECEASED 9 20-78
Riviera Beach, Fla. 33404 RESIOENTOF Palm Beach COUNTY,
STATE OF -Florida
DATE: 4-15- 8 0
Dixie DeCicco, Spouse E 83890
THIS IS TO CERTIFY, That in accordance with 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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Executive Director
Department of Revenue 48568'7
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Not valid without seal affixed. f;-..c~•~4p'=~'''
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