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RANDY MILI.ER
EXECUTIVE OIHECTOR
STATE OF FLORIDA 5~1~9
DEPARTMENT OF REVENUE
TALLAHASSEE, FLORIDA 32304
NONTl~XABlE CEl~Tl~l~~TE ~N~ RECElPT
FOR ESTATE T~AX ~
T~; Chelsea Title & Guaranty Co.
8512 S. US 1 ___
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RE: TheEstateof E1More, Mildred E.
DECEASED 7~22f 78
fiFSIDENT OF MuRk LI1CJ~~1 COUNTY,
STATE OF ~~~o
DATE ~T~Tg ~
Dorothy E. Shafer, PR
F ~2340
THIS iS TO CE RTI FY, That in accordance with the provisions of Chapter 19E,
Florida Statutes, there has been filed with this office a sworn report or return for Estate
Taxes as required by faw and on the basis thereof it has been ascertained the a~ove ~state
is not subject Lo the Florida Estate Tax. The issuance af 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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Executive Director
Department of Revenue
~ 5~19U9
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Not valid without seal affixed.
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