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/ DR-302
~ • STATE OF FLORIDA ~ R- »iss
, DEPARTMENT OF REVENUE ~
1~F sr~~E TALLAHASSEE~ FLORIDA 32301 s~~~~~s ~
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NONTA~(A6LE CE RTI FICATE AN D RECE i PT
RANDY MILLER FOR ESTATE TAX
EXECUTIVE OIRECTOR
T~: William D. Fulton RE: The Estate of Fulton, Walter E.
54 Talwood Dr. ' SOCIAISECURITYNO. 27rJ-OZ-~242
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~ Don M; ~ 7~~ nnt~rioy M38 2p5 Dp?TE OF DEATH: 4-3-R~
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RESIDENT OE _ St~ ,~~~}e COUNTY,
k STATE OF Florida
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f DATE: 8-12-H3
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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 the above estate
~ is not subject to the Florida Estate Tax. The issuance of this certificate, however, shall
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~ not preclude the assessment and collection of Estate Taxes subsequently determined to be
} due the State of Florida.
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~ 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.
s Given in quadruplicate under my hand and the seal of the State of Florida.
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Executive Director
Department of Revenue
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Not valid without seal affixed.
~~JO!(~~ PAGE 9~
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