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RANOY MILIER
E%ECUTIVE DIRECTOR
STATE OF FLORIDA /
DEPARTMENT OF REVENUE ~
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TALLAHASSEE, FLORIDA 32304
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FOR ESTATE TAX
TQ: Chelesa Tit1e
Attn: Linda Sanderson ~
851~ ~ S #1
Pt St Lucie, Fla. 33452
RE The Esiate of
Crevier, Albert A
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RESIDENT OF (~a 1»met (~j }~ X~Y
sTa~E oF I llinois
OATE 3-IH"81
Irene Crevier, Per Rep
A 53082 Pp
THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
Fiorida Statutes, there has been filed with ihis 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 liabiiity.
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 vaiid without sea{ affixed.
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