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RANDY MIILER
EXECUTIVE DIRECTOR
STATE OF FL,ORIDA
DEPARTMENT OF REVENUE
TALLAHASSEE. FLORIDA 32304
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NONTAXABLE CERTIFICATE AND RECEIPT
fOR ESTATE TAX
T~: C. Norris Tilton, PA
Po Box 526
RE: The Estate of NYstrom, LOU1S@ H•
DECEASEO 5~28~SO
RFSIOENT OF _ St . Ll1C~L COUNTY,
STATE OF f lorida
DATE: I,Z~LIl,~B (1
Carl H Nystrom, Spouse
F 05002
. 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 fiability by the above estate for the Florida Estate Tax is required
by any person this Certificate may be exhibited as evidence of su~h 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
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