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Form DR306
Rw. 1 /80
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Ex~eutiw Diheta
STATE OF FLORIOA
DEPARTMENT OF REVENUE
TAIIAHASSEE. FLORIDA 32301
NON-TAXABIE CERTIf ItATE AtiD RE~EIPT
FOR ESTATE TAX
TO: ~ight F. Gallivan
9999 U.S. HighWay 1
Port St. Lucie, Florida 33452
Claude S. Bevington, Spouae
Re. The Estate of
~ Resident of
State of
Date: ~
55.00 Fee Received:
E 80073
Bevington, Evelyn
Wells ~~~
Indiana
2-29-8Q
Same
THIS IS TO CERTIFY, That in accordancewith the Frovisiwis of Chapter 198, Florida Statu~es,
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 wbject to the Florids Estate Tax. The
iuuance of this oertificate, however shall not preclude the auessment and oollection of Estate Taxes
subsequentfy detertnined 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 tha Certificate may be exhibited as evidence of wch non liability.
. ...; ,
written.
Given in quadniplicate under my hand and sesl of the StaLe of Florida the date first above
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Not valid without seal affixed.
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I HEREBY CERTIFY that the above is a true and correct copy as it appears from the records
of tfiis office.
IN_ WITNESS WHEREOF, I have hereunto set my hand and the seal of the State of Fl~rida
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