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STATE OF FLORIDA
DEPARTMENT-OF REVENUE z
_y~'~`"~~~~i~ TALLAHASSEE, FLORIDA 32304
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NONTAXABLE CERTIFICATE AND RECEIPT
RANOY MILLER FOR ESTATE TAX -
EXECUTIVE DIRECTOR
T0~ Rnlnry C . Teel . III, Atty . fiE: Tn. Esau of Mn~re . Russell O _
pn box lOOO _ DECEA3E0 S f ~A/SA
~'*~a~L 33d S~~ pESIOENT OF g* r-+,~; ~ _ COUNTY,
STATEOF_-r ---ate-
DATE: r /nn__
Grace A.Moore, Spouse
- E 92171
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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Not valid without seal affixed. a~
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FEE. KOBLEGARD & TEEL. P. A.
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p ATTORNEYS AT LAW
POST OFFICE BOX 1000 ~'p~~ p i.
FORT PIERCE. FLORIDA 33x'30 8(:'Ix i/1{7C ~O~V
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