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STATE OF FLORIDA 495240 3
DEPARTMENT OF REVENUE
~..dTM` ~'+4 TALLAHASSEE. FLORIDA 32304
~••~;~,t,~' NONTAXABLE CERTIFICATE AND RECEIPT
RANDY MILLER FOR ESTATE TAX
EXECUTIVE DIRECTOR
T0: ~'heaster R rri f fi n RE: TAt Esau of Ford ~ Dewejs
P_ n~ Rnx 177 DECEASED 19-?7-79
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-Ft Pierce, Fla. 33450 RESIDENT OF Sj- T_»nio COUNTY,
STATE OFT~Ar~ `a
DATE: Z ~
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i
E 93166
M Viola Ford, Spouse
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 gt~adn~piicate under my hand and the seal of the State of Florida.
t ~ .
_ Y Executive Director
Department of Revenue _495240
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1980 AtSS -6 IW ~ i 3
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. Si~tUC R ~TRAS~.
CIERK CIRCUIT COIAI i
Not valid without seal affixed.
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