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q~ ~ ; ~ FINALCERTIFICATE
O.R. ~ i.~B~A~r • .r
FOR INNERITANCE AND ESTATE TA~(?~K 1 r~v., 1. 6 6 J
Randy Miller
Ex~eutiw Oir~ctw
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Carpenter & Carpenter Re. The Estate oi Tatone, Dorothy
200 E. RobinsOn St. 5ocial Security No, 019-12-2277
s.~~ Orlando, FL 32801 • Essex
Resident of County.
State of Maryland
11-15-83
Date of death: 1Q-28-81
THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198, Florida Statutes,
there has been filed with this o~ce a sworn return for Fstate Taxes as required by la~v in the above
named Estate and that the amount of tax assessed by the State of Florida against said estate was
; THIRTY SIX DOLLARS AND 04/100
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~ DOIIafS
~ 36.04
The total tax paid amounted to . . . . . . . . . . . . . . . S
~ The total interest paid amounted to . . . . . . . . . . , S 5 . 7 7
~ 1.81
~ The total penalty paid amounted to . . . . . . . . . . . . S
No claim for refund of the above tax, or any part thereof, ~s pending, and no refund has been
authorized.
Given in quadruplicate under my hand and the seal of the State of Florida the date first above
written.
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~ Ex«aitive or
~ . , Departm t of Revenue
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~ ' - - . 1983 OEC -7 AM ~ 32 . _ ;
~ Not Valid ~rifhouj 3eal-Affix~d ' =
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