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~ fTAT'! OR I~LORlDA . ~ i~~
~ DEPARTMENT OP REY~NUE
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~ ~ NONTAXABLE CERTIFICATE AND RECEIPT ~
RANOY MILIER f OR ESTATE TAX - ~
EXECUTIVE OIRECTOR
C.N. Tilton Gaddis, Charles
ro. RE: TM Ettat~ ot
P.O. Box 1534 gpC~AL SECURITY NO. 094-OS-7650
< Jensen Beach, FL 33457 DATf OF DEATH: 11-28-83
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s RESIDENTOF St. Lucie COUNTY,
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~ STATE OF FZOr1d8
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! DATE: 12-17-84
~ Alice N. Gaddis, Surv., Spouse
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6 54562
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THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
Fiorida 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 ihe above estate
; is not subject to the Florida Estate Tax. The issuance of this certificate, however, shall
~ not preciude the assessment and collection of Estate Taxes subsequently determined to be
due the State of Florida.
If proof of non liability by the above esiate for the Florida Estate Tax is required
by any person this Certificate.may be exhibited as evidence of such non liability.
Given in quadruplicate under my hand and the seal of the State of Florida.
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Not vafid avithout seal affixed. ROGER r~ -
ST. LUCi: c. _
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