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RANDY MILLER
EXECUTIVE OIRECTOR
STATE OF FLORIDA
DEPARTMENT OF REVENUE
TALLAHASSEE. FLORIDA 32304
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NONTAXABLE CERTIfICATE AND RECEIPT
FOR ESTATE TAX
T0: Thomas C. Simpson* Atty.
PO box 1390
Daytona Bch, FL ~2015
- RE: The Estate of Hardtmayp_r JR, A1 f. [~ R_
UECEASEO ~~
RESiDENT OF ~~
STATE OF ~~~
DAT E : ~~8~
Helen S. Hardtmayer, Spouse
F 00048
COUNTY,
THIS IS TO CERTIFY, That in accordance with the provisio~s 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 preclude the assessment and cotlection of ~state Taxes wbsequently 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
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1981 .F~-3 -2 P~ !2~ I S
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