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STATE OF FtORIDA R- ~j
' " DEPARTMENT O~ REVENUE ~
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'~~.,..~r NONTAXABLE CERTtFiCATE AND RECEtPT
RANDY MILLER fOR ES?ATE TAX
EXECUTIVE OIRECTOR
T~• Chelsea Title & Guaranty Co. Daniel, Fred G.
RE: The Estett of
P.O, Box 1152 257-O1-4057A
SOCIAL SECURITY NO.
Stuart, FL 33495 DATEOFDEATH: 10-29-74
RESIDENT OF Duval COUNTY,
STATE OF Florida
Martha S. Daniel, P.R. 6-5-85 3~~
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G 74576 I
THIS IS TG CERTIFY, That in accordance with the provisions of Chapter 198,
Florida Statutes, there ha~s been filed with this office a sworn report or return for Estate
Taxes as requirec~ 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
noi preclude the assessment and collection of Estate Taxes subsequently determined to be
due the State of Florida.
If proof of non fiability by the above estate for the Florida Estate Tax is required
by any person this Certificate may be exhibiied as evidence of such non liability.
Given in quadruplicate under my hand and the seal of the State of Florida.
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,o Executive Director
~ Department of Revenue
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Not valid without seal affixed.
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