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Brown 04-23074683
Record~Non-Taxable Certificate ~4.00 . ~ CC No. A 51 '~/
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STATE OF FlOR10A
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R"'.'~e° DEPARTMENT OF REVENUE
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y~ry •t~~f4 TALLAHASSEE, FlOR10A 32301
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NON-TAXABIE ~ERTIFICATE AND RECEIPT
R~YM~~~ fOR ESTATE TAX
~x~eutiw Dinctor '
TO: Irene Hart, Petitioner
Harrison Nichols
Attorney at Law
1214 Main Street
Union Grove, Wisconsin
Re. The Estate of
DeCeased.
Resident of
State of
n 24511
Melvin E. Hart
St. Lucie
County
Florida
pa~: 12 / 1 / 74
55.00 Fee Received: Same
THIS IS TO CERTI FY, That in accordance with the provisions of Chapter 198, Florida Statutes,
there has been filed witfi this office a.sworn report or return for Estate Taxes as required by law and
on the basis thereof it has been asc~tained 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
subsequendy 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.
~GiveA: itt •qu~druplicate under my hand and seal of the State of Florida the date first above
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O~ps~tm~nt of R~wnw
Not valid without seal affixed.
1 HEREBY CERTIFY that the above is a true and correct copy as it appears from the records
of this o~ce.
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WHEREOF, 1 have hereunto set my hand and the seal of the State of Florida
March , A.D. 19 ~1
~~ N~f =S ~n ~ ~ 519431
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