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STATE OF FLORIDA
Fam DR-306
Rev. tI80 DEPARTMENT OF REVENUE
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•i fg. TAi.LAHASSEE. FLORIDA 32301
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NON-TAXABLE CERTIFICATE AND RECEIPT
Rsndy Mill« FOR ESTATE TAX
Ex~cutiw Dir~etor
TO: Amy G. VanPelt, Per Rep A G2552 PP
J. Steven Dribble
159-A South Tamiami Drive, N. Id.
Port Charlotte, Florida 33952
Re. The Estate of Nancy 6 . Goode
Deceased.
Resident of Roanoke County
State of Virginia
Date: 3/16/7
55.00 Fee Received: 7/29/76
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 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
person~Coil~i~Ntd'[0 may be exhibited as evidence of such non liability.
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- iven in quadruplicate under my hand and seal of the State of Florida the date first above
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Not valid without seal affixed.
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1 HEREBY CERTIFY that tfie above is a true and correct copy as it appears from the records
of this office.
tN vwri~tl~~ss WHEREOF, I have hereunto set my hand and the seal of the State of Florida
this . 2~th;,~ of ~ October ~ A.D. 19 80
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