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RANOY MILLER
EXECUTIVE DIRECTOR
STATE OF FLORIDA
DEPARTMENT OF REVENUE
TALLAHASSEE, FL,ORIDA 32304
51333p
NONTAXABLE CERTIFICATE AND RECEIPT
FOR ESTATE TAX
T~; Harold H_ c'.n2~,~~ Att~
--~ _ ~t _ ~~e-r~. 3345~
James F. Kriegel, Admin.
F ~06346
y-
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 precfude the assessment and collection of Estate Taxes subsequently determined to be
due ihe 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.
;
.
Not valid without sea( ~ffixed.
RE: The Estate of ~
DECEASEU ~~~
RFSIDENT OF
STATE OF iT~
DATE: i~~
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Executive Director -
Department of Revenue 51~30
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