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FiAhDY MILtER
ExECUT~VE a~RECTOR
STATE OF FLORIDA PS-4236
DEPARTMENT OF REVENUE ~~~.7~6
TALLAHASSEE, FLORIDA 32304
NOHTAXABLE CERTlFICATE AND RECEiPT
fOR ESTATE TAX
T~. Ti f 1 P 1G Tr»at ~~ of F1a_
Mildred M. Tarzinski, PR
~ '
RE: The Estate of ~'~.~Z~~S~4~~---F~~'e~~}~4 ~ ~
~ECEASED -__ ~ /~8n
RFSIDENTOF COURTY
STATE OF
DATE
F 13406
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 ~ ax. The issuance of this certifieate, 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.
~iv,en in quadruplicate under my hand and the seal of the State of Florida.
~,
Executive Director '
Department of Revenu J~1,73~
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~~:ot valid without seal affix~d.
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