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RANDY MIILER
EXECUTIVE OIRECTOR
STATE OF FLORIDA
DEPARTMENT OF REVENUE
TALLAHASSEE. FL.ORIDA 32304
NOHTAXABLE CERTIfICATE AND RECEIPT
FOR ESTATE TAX
TQ; Charles B.P. Brownj Atty.
Dorothy Schub, PR
~~: n+e e:ace o+ Buncke, Evelyn
DECEASED ~~~~
RESIDENT OF C~ 7_»n~ o COUNTY,
STATE OF ~+=~i,~..
DATE: ~ /~ ~~ ~
F 12185
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 return fior 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 liabitity.
Given in quadruplicate under my hand and the seal of the State of Florida.
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Executive Director
Department of Revenue
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Not valid without seal affixed.
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