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1 STATE OF FLORIDA
~ DEPARTMENT OF REVENUE ,
~ ~~d `~,~4. TALLAHASSEE, RLORIDA 32304
- NONTAXA6LE CERTIFICATE AND RECEIPT
RANDYM11~lCR . ~F.OR~ ESTAT_E_. TAX
fiXECUTWE QIRECTOR
Richard ~1. Springer B3.hop, Florence S.
TO; _ _ . RE: TM Esuu of
3003 South Congress Avenge DecEASeo 12-18-79
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Suit@ lA ~ ' RESIDENT OF Palm Bea COUNTY,
Palm Springs . Florida 33461 sTAYE of F7nr~da
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_ .DATE: 4"Bo ,
E 9018
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THiS IS TO CERTIFY, That ~in accordance with the provisions of Chapter ~ 98,
Florida Statutes, there has been filed.with this-o~#ice a swohn 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 Ftorida Estate Tax. The issuance of this certificate, however; shall
not preclude the assessment and collection of Estate Taxes subsequently determinesi to b~
due the State of Florida. - '
• • ~ If proof of non Liability by the above estate for the Florida Estate Tax is required : F
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 o'fi Florida. '
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Ijl~ 1 ~ ~ ~ Executive Director -
Department of Revenue
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~ Not valid without searaffixed. - - RorR F'~TRAS
~ 'G.ERII CIRCUIT COUA
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