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STATE OF FLOR 1 DA
DEPARTMENT OF REVENUE ~
~..`~TM~"'I'~o TALLAHASSEE, FLORIDA 32304
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NONTAXABLE C~~I~IC~TE AHD RECEIPT ~
FOR ESTATE TAX }
RANDY MILLER
EXECUTIVE DIRECTOR
TQ; Sam Duke RE: TrkE.ua,F -rich, Everett E
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P_ n_ BOX i~79 DECEASED 12-12-79
~g_Wales T.~~a.--3 3 8 53 RESIDENT OF p
~l^ COUNTY,
Lat'~ STATE OF Florida
CO OATS: 3-20-80
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® Bessie A Rich, PR E 81752
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
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Not valid without seal affixed. a.uuc WRCU'~ od _ _
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• ~CpRp VERIFIfO- SA. _ :FS t ' ~ r • a .
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N! v~j.,. ~~3 ~ Please Return To:~ ,
6C(~~~ PZb~~~ ~TEP,SOt~. A".YERS. CRAIG, CREWS, BRANDOP~ & PAANN, P.A:
P. 0. 13ox 1079 Lake Wales, Florida 33853 ~
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