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IN 'I~iE Q~,UIT OOUFQ' IN AND FOR
IN RE: RAC~~, O. CI~BELd, ST. UJCIE C~0(~I~f, F'LURIOA.
N~TPAXABLE CEKrIFICATE
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~ STATE OF FLORIDA
DEPARTMENT OF REVENUE
yJ..°~`~~s;'+4 TALLAHASSEE. FLORIDA 323a4
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•~~..,,.,c' NONTAXABLE CERTIFICATE AND RECEIPT -
RANDY MILLER FOR ESTATE TAX
EXECUTIVE UIRECTOR -
Ben L. Bryan, Jr. Atty. Campbell, Rachel O.
TO. RE: The Estate ot
p~. BOX 3230 , DECEASED 12~23~8~
Fort Pierce, F1 33454 RESIDENTOF St. Lucie
COUNTY,
STATE OF F7 pri a
DATE: ~,/~ ~
Alvin D. Campbell, Spouse
F os7s3
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 Flol~da 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 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
5~4364
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en'~K 347 PacE 417
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