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STATE OF FLORIDA
DEPARTMENT OF REVENUE
~y~tN"r''+4 TALLAHASSEE. FLORIDA 32304
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~4~,,..~' NONTAXABLE CERTIFICATE AND RECEIPT
FOR ESTATE TAX
RANDY MILLER
EXECUTIVE OIRECTOH
TQ • Eugene C . Gerhart Att Ty.~n,, Janice i _
s y - RE: The Estate of .Id
PUboX 2Q39 DECEASED ].~,!~1/r?Q
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~hamt~nny ~Y 13~,~ 2 RESIDENT OF n+-%+~+~*+~ COUNTY,
STATE OF
DATE:
Leon A.Lyman, Admin.
E 90973
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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 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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" ' Department of Revenue
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