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STA dF ~L 1 A s~~~~~ R.' ~~e~
~ DEPARTMENT OF REVENUE
i~-~L ~dF'"E;r+r~ TALLAHASSEE~ FLORIDA 32301 443618
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'4~~~t~~~ NONTAXABLE CERTIFICATE AND RECEIPT
RANDYMILLER fOR ESTATE T~IX
~~T ECUTIVE DIRECTOR
1 Tn.
~ TO;` David W. Miner, Esq. Straka, Anthony P.
HE: The Estate of
~ P.O. Box 1319 199-26-8896
N SOCIAL SECURITY NO.
~ Bradenton, FL 33506 9-5-84
Q DATE OF DEATH:
Manatee COUNTY,
~ RESIDEPlT OF
~
N STATE OF Florida
~ Q I
~ i~ DATE: 11-7-H4 '
~C ~ Shirley Straka, Surv., Spouse
.N
° G 50340
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THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 19~;
~ Florida St~tutes, 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 the above estai~
` is not subject to the Florida Estate Tax. The issuance of this certificate, however, shall
not preclude the assessment and collection of Estate Taxes subsequently determined to be
due the State of Florida.
If proof of non 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 under my hand and the seal of the State of Florida.
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