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STATE OF FLORIDA - i
0~$~PARTMENT OF REVENUE
3~ ESTATE TAX BUREAU
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~ ~ ~ TALLAHASSEE. FLORIDA 32304 ~
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""RR" cot, ~R. NONTAXABLE CERTIFICATE AND RECEIPT
EXECYTIVE OUECTOR
FOR ESTATE TAX
TO• i';erTet'i F, '.':ils~n ~ Fer, Teh.
• c/o Iiir. ton A. .Tacola E ` b ~ ~
2630 I'~11yt~ti+rl :^,l~.~c?. - -
t ~ E+oll~~~•ncx~ i TZorid~ 33020 _
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Re: The Estatc of `I<trsaret A,:~:ilsgn - _
Deceased. - .
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Resident of Rrrn•.~rd
- ~ County, rlrrtda_ - 1
Date: 10/12!79 t
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ES.00 Fee Received:
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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 sebject 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 j
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.
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Given iri quadruplicate under my -hand and the seal of the State of Florida the
date first above written. - - -
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= - - _ Executive trector =t _ !
- - - Department of Kevenue - : ~
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~,CORD~D 1ti ~Nt 0'rf?CWl REw:iDS E~.iUk ~T..
~ OF 2P.J~YAn17 CCllYTIf. FlC3{CA ~
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Ci"ti1t+(y ~,i„Si1L::1~AI1.R
Not valid without seal affixed .
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