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STATE OF FLORIDA
DEPARTMENT OF REVENUE 50613
`'y~<NE 1~~4 TALLAHASSEE, FLORIDA 32304
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NONTAXABLE CERTIFICATE AND RECEIPT
RANDY MILLER FOR ESTATE TAX
EXECUTIVE DIRECTOR
To'Fee Koblegard F, Teel RE: The Estate of Cowan Louise F
P . O. BOX lOOO DECEASED ' S' 79
Ft Pierce, Fla. 33454 RFSIDENTOF St LLCIe COUNTY,
STATE OF F,1 nr i rl a
DATE- l~-7Q'HO
Harold Cowan, PR ~ O
{G
{ nce with the rovisions of Cha ter 198,
~ THIS IS TO CERTIFY, That In accords p P
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 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
~ Department of Revenue
50`7613
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Not valid without seal affixed. _
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9
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`:R 343 978
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