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RANDY MILIER
EXECUTIVE OIRECIOR
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STATE OF FLORlDA
DEPARTMENT OF REVENUE
TALLAHASSEE, FLORIDA 32304
NONTAXABLE CERTIfICATE AND RECEIPT
FOR ESTATE TAX
T0: Stanley H. Speiler, P.A. Sams, Willie
RE: The Estate of
4700 Bixcayne Blvd. QECEASED 9/12/79
M1.dFill~ FL 33137 RFSIDENTOF $t. Lucie COUNTY,
STATE OF k'lorida
DATE
Martha Sams, PR
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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 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 tiability.
Given in quadruplicate under rny hand and the seal of the State of Florida.
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Not valid without seal affixed.
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Department of Revenue
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