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STATE OF FLORIDA
DEPARTMENTOF REVENUE 49US~'4
TALLAHASSEE. FLORIDA 32304
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,~..t' NONTAXABLE CERTIFICATE A_ ND RECEIPT
RANGY MILLER FOR ESTATE TAX
EXECUTIVE DIRECTOR
~'0; Charles J Dorfman RE: TheEsgt~ot Cli~~ing~ nnnn M
8800 S U $ Hwv 1 DECEASED 6_,^79
Pt ~t Lu~~eTFla. 33u52 RESIDENT OF Carlsbad COUNTY,
STATE OF NiiW Mexico
GATE: 5-30-84
Doris Eletha Clippinger, PR E 8826
THIS IS TO CERTIFY, That in accordance with the provisions of Cha ter 198,
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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 as;~essment and collection of Estate Taxes subsequently deternnined 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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~V ~ Executive Director
Y--~~- ` - ~ Department of Revenue 4905'4
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F+LEC 1tt?~~E FtCL~ot•
S ROGER P~RASA.
CLERK ClRgNT COWLj~
E Not valid without seal affixed. ~£~'~~~~T•"~`~•"~- --$~L--_
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