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STATE OF FLORIDA
~ ~ DEPARTMENT OF REVENUE ~~Oz
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~ dTMES - TALLAHASSEE, FLORIDA 32304
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•'~~ws.•~~ -NONTAXABLE CERTIFICATE AND REC~lPT . -
RANDYMILIER ~OR ESTATE TJ1X ~ ~ -
EXECUTIVE OIRECTOR -
. Chelsea Title & Guaranty Co. Doeker, Robert B.
T O• R E: The Eststt of
8512 South U. S.1 oECEnseo 9~24~~8
Port St. Lt1C1@~ FL 334SZ " RESIOENTOF $1 Pd80 COUNTY,
-STATE O~ Texas ~
~ATE: - S~ZZ~SZ
- Thida B. Doeker, P.R. -
~ . - ~ F ~18692
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~ THIS IS TO CERTIFY, That in accordance with the provisions of ~hapter 198,
' Florida Statutes, ~there has been filed with this office a sworn report or refum for Estate.
Taxes as required .by law and on the~ basis thereof it has been ascertained ihe above estate
( is not subject to the Florida Estate Tax. The issuance of this certificate, howe~er, shall
~ not preclude the a~ment 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 wch non liability.
Given in quadruplicate under my hand a~d th~ seal of the State of Florida. - -
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~ ~ ~ . Executive DirectQr
~ ° ' r~ ` ' ~ De artrnent~of Revenue
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[ Not valid without seal affixed. ~ P ~
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