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RANOY MILLER
EXECUTIVE OIRECTOR
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STATE OF FLORIDA
DEPARTMENT OF REVENUE
TALLAHAS,$E~,~~`I4R~p~A 32304
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NONTAXABLE CERTIfICATE AND RECEIPT
FOR ESTATE TAX
TQ: Franeis A. Maaewski, Atty. RE: The Ettate of Brooks, Frank
PO Y~OX ZG DECEASED 6/28f80
Lehiah Acres, FL 33936 RESIDENT OF T~pca COUNTY,
STATE OF ~~~ -
DATE : ~~~.$8
Mary Ann B Arthur, PR
E 97568
~Ef:14~6 ~c~192
THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198;
Florida Statutes, the~e 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 th~ seal of the State of Florida.
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Not vatid without seal affixed.
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Executive Director • ~~; A
Department of Revenue t,~ ~ ~ ~' ~' ~
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