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STATE OF FLORIDA ~10431 R ~~~82 ~
DEPARTMENT OF pEVENUE
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~~~~..,,.~r NOHTAXABLE CERTIfiCATE AND RECEIPT
RANOY MILLER FOR ESTATE TAX
EXECUTIVE O~RECTOR
TO: Chelsea Title & Guaranty Co. Molinar, William
RE: The Estate of
47 E. Ocean Blvd. 456-20-3779
&OCIAL SECURITY NO. _
P.O. Box 1152 2-12-g3
DATE OF DEATH:
Stuart, Fl. 33495 Madiso~
RESIDENT OF COUNTY,
STATE OF Indiana
DATE: 6~7~8 S
Diana H. Molinar, Wife
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THIS IS TO CERTIFY, That in accordance with the provisions of Chapier 198,
Florida 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 the above estate
~ 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.
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` 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.
G~iven in quadruplicate under my hand and the seal of the State of Florida.
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~ Executive Director
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~ Not vaiid without seal affixed. SL ~uc~~
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