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10-23075896
STATE OF FLORIDA
. ' DEPARTMENT OF REVENUE 5Q4204 ~
'J..°'~~s"''+Q TALLAHASSEE, FLORIDA 32304
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NONTAXABLE CERTIFICATE AND RECEIPT
RANDY MILLER FOR ESTATE TAX
EXECUTIVE DIRECTOR
T0: Frallk~i. Fp@ III-,-Atty. RE: The Estate of ~YL~
P~ bOX ZOOn DECEASED g,~2A~77
~g~@~@,rg~z~ w e w RESIDENT OF Wit. L~~Cl° COUNTY,
STATE-OF
DATE: }aT~TB'~
Anna L. Horka, Spouse
E 99843
TH I5 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- Flor-ida 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.
~ ~ . ~ Executive Director
' ~ ~ . ~ - ~ ~ ~ ~ Department of Revenue
` ~ ~ ~ ~ ~ 5044
~ ' ~ 1930 OCT- 2 I P~: ~ 00
f ILEA th[ GtJ~:~~ ~
Si.LUCIE C6LH~ Y.i'I A.
RI!GER POITf2AS
CLERK ClF.~'~ :'I~:': i P
Not valid without seal affixed. ~-ti<..~F : ~ ~
8~341 P~~ 773
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