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. STATE OF FLORIDA _ ~S_ ~ ~g3 A~ ~~~82
DEPARTMENT OF REVENUE
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u~-~~~.~~~~ NONTAXABLE CERTIFICATE AND RECEIPT
RANDY MILLER f OR ESTATE TAX
EXECUTIVE DIRECTOR
T~~ First American Title Co. Lacey, Sr.,Kenneth F,
RE: The Estate of
126-05-4583D ~
201'~ SE Port St . Lucie Blvd . SOCIAL SECURITY NO.
Port St I,UCle. F~L 33452 DATEOFOEATH: 8-26-H3 ~
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• RESIDENT OF St , Lucie COUNTY, i
STATE OF Florida
DATE: 6-1'9-85
Evelyn Lacey, P.R.
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THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
E 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.
If proof of non liability by the above estate for the Florida Estate Tax is required
i by a~y 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 valid without seal affixed. ST. ~<<`":-
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