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- 494.3'4
STATE OF FLORIDA
Form DR.'!Oe
Ra"- ~~0 DEPARTMENT OF REVENUE ~
THE
~ ~ ~ TALLAHASSEE, FLORIDA 32301
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'~'°°""'`'fi. NON-TAXABLE CERTIFICATE AND RECEIPT
R"'d" FOR ESTATE TAX
Exaaniw Diraetor
TO: John E. She and Per. Re
PP ~ P E 23069
Kaplan! Dorsey, Sicking, Hessen
Post Office Drawer 520337
Miami, Florida 33152 ~ .
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Re. The Estate of Rose L. Sheppard a/k/a
Deosased. Rosabelle Reid, Laura
Resident of Highland ~ Dade County
State of Florida
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per; ~ 9/7/78 '
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x.00 Fee Received: Same
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THiS IS TO CERTI FY, That in accordance with the provisions of Chapter 1~, 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 mined the above estate a not subject to the Florida Estatie Tax. The
issuance of this certificate, however shall not predude the a::essrr>ent and collection of Estate Taxes
subsequently determined to be due the State of Florida.
If proof of non liability by the above estatis for the Florida Estate Tax is required by any
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person this Certificate may be exhibited as evidence of such non liability. E
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j _._G,t a ,quadruplicate under my hand and seal of the State of Florida the date first above x
E~caartiw Dinetor
DaparfwAw~t of Rownw
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Not valid without seal affixed.
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1 HEREBY CERTIFY that the above is a true and correct copy a: it appears from the records
of this office. ' ; -
WHEREOF, I Have hereunto set my hid and the seal of the State of Florida '
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-~Q#.-: _ - July , A.D.19 8R
~ - - ~ . ~ .:Y 4, 4943'74 -
.XlI. 29 PN 3 03
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(SEAL) r is--~` ~T qq~pp~~TlGitA.
~POITRAS custodian of Records .
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tiECORDYERiftEb_. ~ _ Lil Smithling
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