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STATE OF FLORiUA
` ~~c~ s~F D~P~IRTMENT OF REVENI;E c~~r~.~~?~ '
,R ESTATE TAX BUREAU ;
~ ' o TpLLAHASSEE, FLORIDA 32304 _
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, EoS-R~~~HN NONTAXABLE CERTIFl~ATE A~1D RECEIpT ~ -
ExECUtiVE D~NECtOR - . ' ~ ,
. FOR ESTATE TAX
TO. Heien V. Proulx, Spouse ~ 3~ g~~ _
C/0 Charles E. Becht, Atty. - -
P.O. Box 548 . '
Ft. Pierce, FL 33u50 - „ : '
lic: l l~c 1:~~~te of Zotique J a Proulx -
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- l)eceased. - -
l~c;i~lci~t of St, T,»ei e - -
(:otu~ty~, Flnri rla -
D.t[e: Anri 1 4~ 19 7 5 _
- _ $;i.00 l~ce I{ecei~-ed: -
THIS .IS TO C~;RTIFY, That in aceordance with the provisions of Chap~er 198,
~ Ftorida Statutes, there hag b~~n ~led with this office a sworn report or return for Estate
'faxes as required by iaw ar~d ~n the basis thereof it has been ascerta~ined tl~e abave est~te
- is nat subject to the Florida Estat~ Tax. The issuance of this certificate, however, ~hall
not preclucie the assessment and coilection of_ Estate Taxes subsequently~determi~ed to be _
~due the 5tate of Florida. - ~ "
_ If proof of nfln 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 undec my hand and the sesi of the State of Florida the
date first abave written.
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- ~ _ ~ . Fxecutive ~irector - i
' - . . ~ I?epartment of Reves~ue .
_ - /~EG t~N~ ~::CUaD~9 ~
~ ~ ~ . - ~ ~ f~-IU~:E .~3U!!TY f~ A. - _
' • - , . - ~iDGER ?GlT~4S i
. - _ - C~CRK _C+~~T r,OtlRT
, , . _ !~PCfir•r~ y; f,.c.l0,~~..w...~.. -
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N~t valid without seal affixed . - . .
_ E~o~ 239 ~~~E 33~ - ~
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