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RANDY MILL,ER
EXECUT~VE OIRECiOR
STATE OF FLOR I DA S~i~~a3~
DEPARTMENT OF REVENUE
TALLAHASSEE, FLORIDA 32304 ~" S-4137
H~NTAXABLE C~RTlflCAT~ AHD RECElPT
fOR ESTATE TAX
TQ: Title & Trust Co of FLA.
RE The Estate of
DECEASED
~~
R.FSIDENT OF 8eauor COUNTY
STATE OF
DATE ~ 7 /8i
i
Helen Radatovich, Exec.
F ~?843
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 !aw and on the basis thereof it has been ascertai~ed the above estate
is not subject to the Florida Estate Tax. The issuance of this certificate, however, shal!
not preclude the assessment and collection of Estate Taxes subsequently determined to bp
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 ~s evidence of such non liability.
Given in quadruplicate under my hand and the seal of the State of Florida.
~,
Executive Director
Department of Revenue 5~1-730
isa~ r-~~:z z~ ~~~. ~i: c8
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Not valid wit~out seai affixed.
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