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~~n. STATE OF FLORIDA " 50a~ ? ~3
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DEPARTMENT OF REVENUE
yJ..'#~"~''~Q TALLAHASSEE. FLORIDA 32304
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_ NONTAXABLE CERTIFICATE AND RECEIPT
RANDY MILLER FOR ESTATE TAX
EXECUTIVE OIRECTOH
TQ; Chelsea Title GO RE: The Esateoi Katz , Edwin
8512 SUS 1 DECEASED S - 29 - 79
Pt St 1.ur_ie~ Fla_ 33452 RESIDENT OF St Lucie couNTY,
STATE OF ~lasida
DATE: 1~ - G=SO
E 99314 -
Irene Katz, Spouse _ -
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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 tie 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.
1 - - i
x-. .r
~ t ' Executive Director
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f.~,F " _ ~ Department of Revenue 5~D3'T73
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r~:~ _ 190 Q~'i 16 I', ~ j:6
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~ ~ ~ ST.lt1L'IE COttH: t:r: n.
ROG~R POITRt•5
Not valid without seal affixed. CIEFK CIRCUIT s D
a~K 341 PAS 14
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