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STATE OF FLORIDA
DEPARTMENT OF REVENUE
TALLAHASSEE, FLORIDA 32304
RANDY MI~LER
EXECUTIVE UIRECTOR
NONTAXABLE CERTIFICATE AND RECEIPT
FOR ESTATE TAX
TQ: Rusley C. Meeker, Atty.
RE: The Estate ot
Boca Raton, FL 33432
240 W. Palmetto Prak Rd.-ste 300 oECEasEo
Vignau, Maxine N.
5/14.79
RESIDENT OF Palm BC~1 COUNTY,
STATE OF _ F1 Ol^i dg
DATE: ~ ~~~~~
Pierre A. Vignau, PR
E 77228
THIS IS 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 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 liability.
Given in quadruplicate under my hand and the seal of the State of Florida.
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Not valid without seal affixed.
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Executive Director
Department of Revenue
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