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STATE OF FLORIDA
y~ DEPARTMENT OF REVENUE ~2
~ TMe~4 TALLAHASSEE. FLORIDA 32304
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NONTAXABLE CERTIFICATE AND RECEIPT
RANDY MILLER FOR ESTATE TAX
EXECUTIVE DIRECTOR
T0: ~h~lesa Ti ~ p REc The Estst~ d Shiers ~ Alvera
- 8512 S U.S. #1 oECEASEO ii-19-79
Pt St Lucie, Fla. 33452 RESIOENTOF Anchorage oouNTY,
srATe of Alaske
9-2-80
John A Shiers, Spouse A 5112 4 PP
THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
I 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 certif'ICate, however, shall
not preclude the assessment and collection of Estate Taxes subsequently deternnined 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 ertl Icate may a
exfiitiite~ as evl ence o such- non-1ia~ii 1
Given in quadruplicate under my hand and the seal of the State of Florida.
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-s ° Executive Director
Y _ _ ~ Department of Revenue
SFP t 0 P4 Ct 45
ROGER PG{TRAS
Not valid without seal affixed. c~ERI: c~ ~
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