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RANDY MILLER
EXECUTIVE DIRECTOR
STATE OF FLORIDA 51048
DEPARTMENT OF REVENUE
TALLAHASSEE, FLORIDA 32304
NONTAXABLE CERTIFICATE AND RECEIPT
FOR ESTATE TAX
TO: Harald H_ C'nldman~ Attu
Leona Downer, PR
F 03915
THIS IS TO CERTIFY, That in accordarice 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, shalt
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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Not valid without s~~affixaed.
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RE: The Estate of akwi nak i ' [_harl PR T.Fpn
DECEASED ~ ~~ 7 ~7Q
RESIDENT OF ~~~ j~p,1j, COUNTY,
STATE O
DATE: -
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Executive Director
Department of Revenue
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FIFER ANC P[ CUKIi J
S ROQER POITRASa
CLERK CIRCUIT C11UR