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• - STATE OF FLORIDA
DEPARTMENT OF REVENUE '
_yd TM~~4 TALLAHASSEE, FLORIDA 3230
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NONTAJCABLE CERTIFICATE AND RECEIPT
FOR ESTATE TAX -
" RANDY MILLER }
EXECUTIVE DIRECTOR !
TQ; S. George Traqer, Atty • RE: The Estat~of Foster, Robert J.
301 Arthur Godfrey Rd.
OECEASEO - 6~15~78
"_~iami Bch. FL 33140 RES~o~NTOF_ Burlington ~~y,
STATE OF NeTIT J°rSi°s'
-GATE: ~+f-13,/..a.O
Victoria Gerben, PR
" E 89403
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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 bf 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. j
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" ~ ' Executive Director
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- _ Department of Revenue 1~y1'78G j
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Not valid without seal affixed, a~c~+cwT coax
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