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• STATE OF FLORiDA
~ DEPARTMENT OF REVENUE $~~1~-s
~d`f"~s''''~~ TALLAHASSEE. FL,ORIDA 32304
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~•~~;~,.,~' NOHTAXABIE CERTIFICATE AND RECEiPT
RANOYMILIER fOR ESTATE TAX
EXECUTIVE OIRECTOR
TQ. Harold H_ ('~nl man~ Atf~~ _
_"'~'~- '~C'- ~~==; s~r ~~'~'~
Ned S. Garris, SJT
RE: The Esute ot _
DECEASED 3~
RESIDENT OF •
STAT E OF ~
DATE: 3~~~
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F 07333
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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 ~ssuance of this certificate, however, shaii
not prectude the assessment and collection of Estate Taxes subsequentiy determined to be
due the State of Florida.
If proof of non liabitity 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 ihe State of Florida.
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Not valid without seaf affixed.
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Executive Director
Department of Revenue
5~51'~'5
198t !~t'; 2~ !U~ ~ 39
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~fi~ 347 PA~E 1~84
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