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STATE OF FLORIDA
~ - DEPARTMENT OF REVENUE S11810
~..d~~ ~~~'4 TALLAHASSEE. FLORIDA 32304
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~~,.,,~,~' NONTAXABLE CERTIFICATE AND RECEIPT
RANDY MILLER FOR ESTATE TAX
EXECUTIVE DIRECTOR
TQ; Treas~ coast ~stra~t & T~ ti e RE: The Estate ot Star~rkgr~_~,p,rT_F _
401 BS Indian River Dl' - OECEASED i1.~,23, /~ ?
~~ ~„i~~~ ~~ RFSIDENT OF ~+~~`
STATE OF ~~~
UATE: ' 3. ~~.tC1~
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Laura May Staerker, Spouse
F 05135
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COUNTY,
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 ii 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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Not valid without seal affixed.
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Executive Director •
Department of Revenue
51.1810
19~0 DEC 29 P!4 ~ I I
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