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- ~ ; . , ~ . 1 . ~ , a . ~ oE f PG 28~ ~ ` '75R110232 RE~ ~ FORM OR-~Ot STATE QF FLORlDA ~ _ 1 - ~ pEPARTMENT OF REVEN~~ ~ ~ ~ ~ _ . . . . F ES7'ATE~TAX .BI~JREAU - _ s " TaLLAHASSEE, FLORIOA 3~304 ' ' - - ~~t~~ ; . ~ . • - - - : - - . • . _ _ 'Qa..,a . - - , - _ ~p STR~~M~ " IdONT~XABLE CERTI~ICATE AtdD _ RECEiPT _ ~ _ ~ - ~.E~.rv~ aR«T~ ~ - FOR ESTATE TAX . - - TO: Lillian Ebersman, Spouse ~ D 3 G Z 71 - C/0 Mamber, Gopman, EpstEin ~ - ~ _ - and Foosander, Attys. ~ ~ : 801 NE 167th St Suite 30 7 Re: The Estate of Rubin Ebersman No. Miami Beach, FL 33162 . ~ ~ - _ ~ ~ ~?~ceased.~ ~ f ~ - Re£ide~at of - ' Dade - • _ ~ - - County, - F1Qricla ~ _ - ~ Date: i'~av 2~~ 19 7 5 " ~ r; - - 55.00 Fee Keceived: . _ . E, . - _ . - THIS IS TO CEftTIFY, Tha~ in accordance with the provisiuns af Chapter 198, ~ Flo~ida Statutea, the~e has, been filed with this office s swQrn report or return for Estate ~ T~xss a~ required_ by law and on the basis thereof it haa been ascertained the ~above estate E " - - _ . ~ is not subject ta ~he Florida Estate Tax. The issuar~ce of this certificate,~ however, shatt l ! not preclude the asaessmsenx and collection of Estate Taxes subaequently determined to be ! due the State of Florida. - _ - - - ~ - I~ proof of non liability by the above pstate for the Fiorida- Estate Tax is required 'by any person this Certificate may be exhibited as evidence of such non liability. ` t~ - Given in quadr~p~icate und~r _ my hand and the seal of the- State of Florida the - ; _ ° ciate first mbove written. ~ . . _ _ ~ ; ; ~ - _ . ~ . _ . - ~ . . _ - ~ - _ _ ~ ~c. - ~j _ . ~_~t~~~~-~~ / ~ ~ , ~ ~,ly+ _ . ~ . . . ~.i~ ~ ~ ~ . ,~~;r". _ ~ Executiv~ D:re~tor • - ~ - . . . _ _ _ _ . _ ~ _ ~ y _ . ~ Department of Revenue ~ ~F~,~,.w~ ~ . : ;R . ~ _ - _ ' , . Q ; - , s ~y~ fUD~nM~ ~ ~ ~ i `t.J: - . . ~ n p~ . ~ ~ ` ' t ~ t - - _ - - RE~~ ~~q - r] ~a~ ~ : + : ' ` ` : F~LED ~~~~E Y~~ RiGSA~~~~j ~uRt ' : ~ CLfR f ~_j~,r . - .~ER f41TRAi ~ t~~: 'j~' ~ea~c c~~a~rn c~u~t ~ ~ . ,.~~~=:;~I~~ RECORO Y[RtFIED..d.~+~~""' ~ ~ - ~ ,~~i3'4iAf_"` ' . . - : . • ~ ' ~ . . ,1 . W Not valid ~?ithout sesl sffixed . ~ ~~~5 ~ ~ ? ~ _ - ~~.t~~0~ goo~24~. ~~~~.9~0 t . ' : - . . . . . . ~ - . . . - . . : ..4 . . - - . . ~ . _ .1~.. . z'-..~" . ~1~~ - " - . . . . . _ . . _ . _ _ . ~E t. .3