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STATE OF FLORIDA
DEPARTMENT OF REVENUE
y~~ESr~,~ TALLAHASSEE, FLORI~A 32304 ~1 ?415
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~-~..,,~,~' NOHTAXABLE CERTIFICATE AHD RECEIPT
RANDY MIIIER ~ ~OR ESTATE TAX
EXECUTIVE OIfiECTOR '
TQ: Lawyers Title Ins . CArD - RE- The Estate of
9999 S_ US HWY ~] OECEASED g~~
_~- ~- ~~ FiFSIDENT OF ~~_~R
STATE OF ~~
DATE. ~~
Ann M. Trebbin, Spouse
F 06094
y~
COUNTY,
THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
Florida Statut~s, ~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 wbsequently determined to be
due the State of Florida.
!f proof of non liability by the above estate for the Florida Estate Tax is ~equired
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~ffixed.
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Executive Director - ~~ ?415
Department of Revenue
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