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RANDY MILLER
EXECUTIVE DIRECTOR
STATE OF FLORIDA Si~1.L~~O
DEPARTMENT OF REVENUE
TALLAHASSEE, FLORIDA 32304
NONTAXABLE CERTIFICA~E AND ~~~FIP~
FOR ESTATE TAX
Chelsea Title & Guaranty Co.
8512 South U.S. 1
Port St. Lucie, FL ~3452
RE: The Estatt o~ Ccchard, Harold ?~.
OECEASED 1~25~~1
RFSlDENT OF '~t • ~llClE.'
~~ ' f
COUNTY
STATE OF Florida ,
3/7 R/R1
t~Ait _
Mirabel O. Cochard, PR(spouse)
F 132a$
THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
Florida Statutes, there has been filed with this office a s~rvorn 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 ev~~ence of such non liability.
Given in quadruplicate under my hand and the seal of the State of Florida.
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~Jot valid without seal affixed.
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Executive Director
Department of Revenue
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