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STATE OF FLORIDA SOS9'7S 's
DEPARTMENT OF REVENUE 3
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~'+Q TALLAHASSEE, FLORIDA 32304
NON_TAXABLE CERTIFICATE AHD RECEIPT
RANDY MINER FOR _EStATE TAX
EXECUTIVE DIRECTOR
TO: ,~Y R. gr,~ni, Atty. RE: The Estate of Cherwak, George B
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8410 S Fed HWY Ste 2OS _ DECEASED 5~~~~
Pt St. I~uCl ~ FL 3352 RESIDENTOF ~ S} t_.~i.ie COUNTY,.
STATE OF r
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I
GATE:
Juel E Cherwak, 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
j is not subject to the Florida Estate Tax. The issuance of this certificate, however, shall ,
I not preclude the assessment and collection of Estate Taxes subsequently determined to be
due the State of Florida.
If proof of non Inability 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.
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~ ~ Executive Director
t.~.~. ~ ~ ; Department of Revenue
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` FILED AND R£'~^4ED
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~ Not valid without seal affixed. Nr~y 5 3 SO aM
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