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STATE OF FLORIDA
Form DR•3pfi
R~• DEPARTMENT OF REVENUE
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.i~f q, TALLAHASSEE, FLORIDA 32301
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NON-TAXABLE CERTIFICATE AND RECEIPT
Rsndy Milbr f OR ESTATE TAX
Ex~cutiw Dirklctot
TO: John Downing, Aty. '
P.O. Box 23097 -
Fort Lauderdale, F1 33307
E 87821
Re: The Estate of Prancato, Madeline S .
Deceased. 9/ 2 4/ 7 8 .
Resident of Broward County
State of Florida
Date: 5/ 2 8 /8 0
55.00 Fee Received: Same
THIS IS TO CERTIFY,Thatin 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 C
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person this Certificate may be exhibited as evidence of such non liability.
Given in quadruplicate under my hand and seal of the State of Florida the date first above
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written.
- r I ,~;j - ~ at ` Exrrcutiw Director
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Not`valid without seal affixed.
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1 HEREBY CERTIFY that the above is a true and correct copy as it appears from the records ~
of this office.
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IN WITNESS WHEREOF, 1 have hereunto set my hand and the seal of the State-of Florida ~
this 11- day of July , A.D. 19.$Q.. = ~
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• Michael L. Patterson, Supervisor
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