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RANDY MIILER
EXECUTIVE OIRECTOR
STATE OF FLORIDA
DEPARTMENT QF REVENUE
TALLAHASSEE~ FLORIDA 3230A
N~NTAXAtLE CERTIFICATE AN~ RECEI~T
~ FOR ESTATE TAX
T0: sro~m ~ williams
P.O. Box 1418
Ft. Pierce, FL 33450
RE: TheEstateoi Griffin, Clarence W.
DECEASED 1~lO~SO
RESIDENT OF St. Lucie
STATE OF ~1 nri r~a
OATE: 2,f 10 f 81
t~iaybelle J. Griffin, PR
F 0982?
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COUNTY,
- THIS IS TO CERTIFY, 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 ihe above estate
is not subject to the Florida Estate Tax. The issuance of this certificate, however, shall
not precl,ude the assessment and collection of Estate Taxes subsequently determined to be
due the State of Fiorida.
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 51'7108
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Not valid without seal affixed.
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