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8YA'PE AF FLORIQA
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a e~es TALl.AHASSE6, FIORIDA 32301 ~~56
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Randy Miller NONTAXABLE CERTlFIC~TE AND R~CEIPT
Executive Oirector .
~ ~OR ESTATE TAX~
~ TQ: NE1L W. MACNILLAN
P.Oo ~SOX lb7
JEiVSEN [3EACN, FL
3345?
R~: The EState Of K E E N b h~ K A T HL E EN
Social Security No. 1 15 -14 -4 2 6~
Date of Death: D8/06/86
Resident of F!• ~~~I~ County,
State of
Validation Date: Q 8~ 14 /86
Issue Date: 09I09/8G
CERTIFICATE NUMBER aAO++5~4
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THIS IS TO CERTIFY~ Yhat in accordance with the provisions of Chapt~r 198, Florida
Statutes, there has been filed with this office a sworn repor~ or r~turr~ for Estate Taxes as required
by lav~r, and oh 4he basis thereof it has been ascertained th~t the abov~ Estate is not subject to t~he
I 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 provf of nonliability by the above Esta#e for the Florida Estafe Tax is required by ~ny
person, this Certificate may be exhibified as evidence of such nonliability.
Given in triplicate under my hand and the Seal of the State of Florida. j
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- - RAN~JY MILIE EXEC 'HVE OIRECTOR
- - DEPARTM NT OF REVENUE
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td~lL V4f. MAC~ROLf~P! ROGER f-u .
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AITORNEY A'T LAVN , , : . ; -
1074 N.E. JENSEN BEACH BLVD.
J~NS~N BEACH, Fla4. 33457
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