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•TATE OF I~LOIIIDA n i~~
DEPARTMENT OF REVENUE
~d`"'"~~ TAlLAHA88EE, FLORtDA a'2801
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~••d....~' ~ HOHTAXABLE CERTIFICATE AND RECEIPT
IiAN~YMILLER fOR ESTATE TAX
EXECUTIVE DIRECTOR
Charles R.P. Brown Sutphen, Lilian W,
TO. RE: Th~ E~tm of
~ P.O. Box1418 266-22-2192
SOCIAL SECURITY N0. ;
Fort Pierce, FL 33~54 ~ S/15/83 ~
DATf OF dEATH:
RESIOENT OF St . I.liCi P COUNTY,
' STATE OF FZAI'i (IS
- OATE: 8 / 2 9! $ ~
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600321 ~
THIS I~ TO CE RTI FY, That in accordance with the provisions of Chapter 198,
Florida Siatutes, there has been fiied with this office a sworn report or return for Estate i
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 iuuance of this certi#icate, however, shall
; not preclude the assessment and collection of Estate Taxes subsequently determined to be
i due the State of Fforida.
I 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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