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RANDY MiLLER
EXECUTIVE OIRECTOR
STATE OF FLORIDA
DEPARTMENT OF REVENUE
TALLAHASSEE, FLORIDA 32304
5193Ei2
NONTAXABLE CERTIFICATE AND RECEIPT
FOR ESTATE TAX
TO: Guy R. Bruni, Attv.
Ste 208 8410 S. Fed HWY
Pamela E. Miglino, PR
F 01497
THIS !S TO CERTIFY, That in accordance with the provisions of Chapter 198,
Florida Statutes, there has been filed with this office a sworn report or retu~n 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 ceriificate, 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 th~ seal of the State of Florida.
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Not valid without seal affixed.
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RE~ TAe Estate ot Madden~ C1 ara S~
DECEASEO 7 A/~/HQ
RFSIDENT OF ~_T~o}~ COUNTY,
STATE OF
DATE:
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Executive Director
Department of Revenue
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