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t ~ DlP11A7'ME~1T OI~ REYENIIB ~
ti, sTM"~y4 _ TALLAMAdSEl. l~LORID~ ~01 1'',~j~~
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y NONTAXA6LE CERTIFICATE AND RECEiPT ~
~ ~ FOR EtTATE TAX
~ RANDY MI~LER
~ EXECtlTIVE WMIECT011 .
~ Robert L. Se~le~ Tschudy, Letha G.
TO• RE: ~ . .
~ 9507 South Federal 8lqhway, Ste ? 481~Ofi~-~4T.4
soC1AL 8ECt~RITY NO.
Port 3t. Lucie, Florida 33452 ow~ oF o~?TM: 11-4-83 ~ ~
- R~~~ ~ St . Lucie
~w~ ~ Florida '
~ - ~ ~ 1-27-84
617109 ~ .
TH1S IS TtJ CERTIFY, That in aocordance with the provisions of Chapter 198,
~ Fiorida Statutes, there has been fiied with this office a- swom report or retum for ~Estate
I` ( Taxes as required by law and on the basis thereof it has been a9certained the above estate .
~ is not aubject to the Florida Estate• ~'ax. ~The iswance of this certificate, however, shall
~ not preclude the asses~sment and collection of Estate Taxes subsequently determined to be
due the State of Florida. .
~ !f proof of non tiability hy the above estate for the Ftorida Estate Tax is required -
~ by any person this Certi~cate may be exhibited as evidence o~ such non liability.
~ ~ Given in quadrupticate under my hand and the seal of the State of Florida.
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= ~ ~ - ~ Executive Director
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~z; ~ '~a ~ Department of Revenue
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~ = Cl[~ CIRCU{TrCf:~iti
Not vafid without seal affixed. "''"'~'`"°~'r .~~i ~
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