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STATE OF FLORIDA
DEPARTMENT OF REVENUE
~..d~ y'+~ TALLAHASSEE. FLORID/1 32304
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~~~,.,,.~' NONTAXABLE CERTIFICATE AND RECEIPT
RANOY MILIER FOR ESTATE TAX
EXECUTIV£ OINECTOR
j'~~ Don Rliebenstein, Atty. qE: The Estate of ~ughes, Jack L.
630 G. Ave. OECEASED 2~5~80
~'sl'1111dY Center~ IA 50638 RFSIDENTOF Csx;l~}~ COUNTY,
STATE OF ~pyjp
DATE: ~ ~
Lola I. aughes, 8xec.
F 00904
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 ta the Florida Estate Tax. The iswance 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 reyuired
by any person this Certificate may be exhibited as evidence of wch non liability.
Given in quadrupiicate under my hand and the seal of the State of Florida.
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Not valid without seal affixed.
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