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STATE OF FLORIDA
DEPARTMENT OF REVENUE
`'~a"`"` ~~'r4 ~ TALLAHASSEE, FLORIDA 32304
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~~~~,.,,.~r' NONTAXABLE CERTIFICATE AHD
RANDY MIILER rOR ESTATE TAX
EXECUTIVE OIRECTOFi
Title & Trust Company Of
T~: Florida AE: Tn~ E:~a« o+
HSOO S. U. S. #1 DECEASED
Port St. Lucie, ~'1 33452 RFSIOENT OF
STATEOF
OATE:
Danuta J. Leparski,PR
PS-3633
RECEIPT
Leparski, Witold
11~21~~8
Toronto
Canada
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F 07071
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THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
Florida Statutes, there f~as been filed with this office a sworn report or return for Estate
Taxes as required by law and on the basis thereof ii 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 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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- ~.-~s. ;~-~` - - Executive Director ~
_ : ~L_ ~'~,~ ~ Department of Revenue
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Not valid without seal affixed. _``" ` ~ ` ~` ~ ~
80~KcJ'~~ P~GE ~~
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