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DR-302
STATF OF FLORIDA R „~sz
DEPARTMENT OFREVENUE
a""'~%~ TALLAHASSEE, FLORIDA 32301
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E~~~~.~ NONTAXABLE CERTIfICATE AND RECEIPT
RANOr MI~~ER f OR ESTATE TAX
cXECUT~VE C~RECtOFt
Elsie M. May May, Her.r1 L~
~0. - RE Tne Estare of ~ -
I15I W. 27th St. 487 05 4086A
_ SOCIAL SECURITY NQ _
Independence, MO 64052 11-2-81 '
DA7E OF pFATH
PcSIDrN7 UF_ .TaC~CS011 _ _rOUNTY,
STATE OF MISSOUrl 1
DATE - -L~ZS-H3_- - _
Elsie M, May, Wife ~ 7 5 0~-7
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~ TH1S IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
E Fl~ricia Statutes there has heen fiteci with this office a sworn re~ort or return for Estate
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` Taxes as required by la~v 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, shali
not preclude the assessrnent and col~ection 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 rnay be exhibited as evidence of such non liability.
Given in quadruplicate under my hand and the seal of the Staie of Florida.
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~ Executive Director 6U,~~9
~ Department of Revenue
~ !?~3 APR 22 AH 9 } ~
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Not vafid without seal affixed.
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