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IN RE: FRED H. HALEY
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RANDY MIIIER
EXECUTIVE DIRECTOR
NONTAXABLE CERTIFICATE
STATE OF FLORIDA
DEPARTMENT OF REVENUE
TAILAHASSEE. FLORIDA 32304
NONTAXABLE CERTIFICATE AND RECEIPT
FOR ESTATE TAX
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HE: The Estate of
DECEASED ~'1~26~80
RESIOENT OF St. T•t~
STATE OF Fl Ari c7a
DATE: 1 ~.=~~R~1
Inez S Haley,'Spouse
F 05867
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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 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 subsequentiy determined to be
due the State of Fiorida.
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
513019
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