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STATE OF FLORIDA
DEPARTMENT OF REVENUE
TALLAHASSEE, FLORIDA 32304
516463
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NONTAXABLE CERTIFiCATE AND RECEIPT
RANDY MILLER FOR ESTATE TAX
EXECVTIVE DIHECTOR
T~' Ba~, Jefferson & McDonald ,
.
P. O.Box 169
Wilma D Shaw, Spouse
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RE: The Estate of Shaw, Jack E
~ECEASEU
RFSIOENT OF
STATE OF
DATE:
3-14-8Q
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Florida I
ia-i~-eo
F 0552?
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COUNTY,
THIS IS TO CER~IFY~, 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 Tax. The issuance of this certificate, however, shall
not preciude 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~per~on this Certificate may be exhibited as evidence of such non liability.
~_~:. ~. ~iven in quadrup{icate under my hand and the seal of the State of Florida.
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Not valid without seal affixed.
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