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STATE OF FLORIDA
' $~~8 BRDWARD COUNTY
• I ~ ~ ~ _ t~~iat the above
- and foregoin& ~ ~ ~ opy of
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as recorded: ip
WITNESS TI'!~ ~ ~ti~ ifort . % '
lauderdate, Fla ;t ~ ~
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~ C ~ ^ ~ ~ ~ ~ STATE OF FLORIDA ~
r„ ~ J Y DEPARTMENT OF REVENUE ~ = _
_ ESTATE TAX 6UREAU ~ - 1
TALLAHASSEE. FlOR10A J2304 ;
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[o+~~..~... NONTAXABLE CERTINCATE AND RECEIhT
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To: 0 30235 _
• Irving Goldman,- F.xec.
=t~. 1825 So. Ocean Dr,
Hallandale, FL 33009
Ke: The E•tatr nt R8y Goldman
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Si.LIlCS< CGUNIY.ft,..
_ RaG£R FOITfi,1;i Detr: - _ Y, rah 3 _ 1Q?5
- CLERK CIRCitI Ci L'?T
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THIS IS TO CERTIFY, That in accordance with the provisions of Chapter i94,~
- Florida Statutes. there has been filed with this office a sworn report or return for 1•~state _
Taxes as required by taw and on the basis thereof it has been ascertained the above estate -
ia not subject to the Florida Fstate Tax_ The issuance of this certificate, however, shall ~
not preclude the assessment and collection of F.~tate Taxes subsequently determined to be t
-b ` due the State of Florida.
- If proof of non liability by the above estate for the Florida Estate Tax is «quir-d -
- by any person this Certificate may tx exhibited as evidence of such non liability.
I; !riven in quadruplicate under my hand and the sea! of the State of Florida the E
date first above written.
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F'xecuttre Ihrettor - ~
>3 lkpartment of Revcntte
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. i Not valid without seal affixed. R. R. KAUTH
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