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. 1~°t"' DR•304 Randy Miller ~ ~
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vdt„E„~ FINAL CERTIFICATE - .
~t o FOA INHERITANCE ANO ESTATE TAX
_ _ STATE OF FLORIDA -
•~~~-s~• TALLAHASSEE jvG, A 3 3 5 6 4
To Galhut, Galbst~, & Menin,P.A. Re. The Estate of Johnson,. Nunnally
Attn: Russell W. Galbut Deceased
999 Washington Ave.
Miami Beach, FL 33139 Resident of Lna AnQ~eg County,
State of California
Date: 7-17-80
Dorris Johnson, Per. Rep. Date of death: 3-25-77 -
THIS 1S TO CERTIFY, That in accordance with the provisions of Chapter 198, Florida Statutes, - -
there has been filed with this office a sworn return for Estate Taxes as required by law in the above
named Estate and that the amount of tax assessed. by the State of Florida against said estate was
~ FOURTEEN TSOUSAND NINE AtINDRED NINETEEN AND 55/100
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Dollars
-The total tax paid amounted to S 14, 919.55
The total interest paid amounted to S 4 , 4 8 5.71
The total penalty paid .amounted to E NONE ~ ,
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No claim for refund of the above tax, or any part thereof, is .pending, and no refund has been
authorized.
-Given in quadruplicate under my hand and the seal of the State of Florida the date first above
written.
Executive Director
Department of Revenue
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