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' STATE OF FLORIDA
DEPARTMENT OF REVENUE
~..'#'~"''~q TALLAHASSEE. FLORIDA 32304
NONTAXABLE CERTIFICATE AND RECEIPT
RANDY MI~IER FOR ESTATE TAX _
EXECUTIVE DIRECTOR
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T0: Charles R.P . Brown. ESQ RE: Tne Esa>r ~ Smith. Leo R. ,
301 S _ 6111 St. DECEASED ~ IZ~Z9~70 ~
Di nrnn _ iTT. 3„~L~iA RESIDENT OF R - - u`-~ OOl)NTY,
STATE OF gl Sri An
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DATE: 3/71 /~!A
Lucy H. Smith, PR
E 81821
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
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~ 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 Dimctor
r - ~ Department of Revenue
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4898.54
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ROGER PMTRAS '
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