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RANDY MIILER
ExECUTivE Dif2EC70R
STATE OF FLORIDA
DEPARTMENT OF REVENUE
TALLAHASSEE, FLORIDA 32304
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NONTAXABLE CERTlFlCATE AND RECE~PT
FOR ESTATE TAX
TQ; Robert J. Su11_ivan~, PC
Margaret M. Gebrian, Exec.
F ~2~19
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THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
Florida Statu~es, there has been fiied with ihis 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 Flo~icia Estate Tax. The issuance of this certificate, however, sha~l
not preclude the assessment ~nd collection of Estate Taxes subseq~~ently det~rmined to be
due the State of Florida. ~
~ If proof of non liability by the above estate for the Florida Estate Tax ~s required
~ by any person this ~ertificate 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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f~ot valid without seal affixed.
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RE Tne Estate ot Gebrian~ Michael .7.
DECEASED 9~~ B~gn
RF$IOENT OF rri nRt~ COUNTY,
S T A T E O F ~re~~.~,,.~.• , L
DATE ~ /c /a,1
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Executive Director
Department of Revenue 5,~~~~
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