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490166 ~
STATE OF FLORIDA
Form ORJ06
R"'' ~~0 DEPARTMENT OF REVENUE
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~4 TALLAHASSEE, FLORIDA-3'1301
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NON-TAXABLE tERTIFItATE AND RECEIPT
fOR ESTATE TAX
Exaortiw ~inetor
TO: Brad Culverhouse, Attorney E 84292
Post Office Box 4392
Fort Pierce, Florida 33450
Robert Toye, Per Rep
Re. The Estate of Francis T. Farmer
Deceased.
Resident of S t . Lucie County
State of Florida
Date: 4 / 21 /80
56.00 Fee Received: 6/2/80
THIS IS TO CERTI FY, 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 tl~er~sof it has been ascertained the above estate is not subject to the Florida Estate Tax. The
issuance of this certificate, however shall not prelude the assessment and collection of Estate Taxes
subsequentty 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.
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Given in quadruplicate under my hand and seal of the State of Florida the date first above
f written.
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Exaarti~a Dirteto?
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~ Not valid wr~hbut seat affixed.
1 HEREBY CERTIFY that the above a a true and correct copy as it appears from the records
of this office.
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IN WITNESS WHEREOF, 1 have hereunto set my hand and the seal of the State of Florida
this--
5~_dry of June , A.D.19 80
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