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DR •302 p 13 0 9 0 Q~~'AR'TAiENT OF ti~1?ENU~
n. aias 7ALLAHASSEE, FLORIDA 32301
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Randy N9ttler NONTAXABLE CERTIFICAT~ ANQ RECEIPT ~
Executive Dlrector
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SU1TE ?i~f: _ ~
PUkT S'f. LUCIE~ Fl
33452 FI~r. : . . _ .
ROGE • r ` .
ST. L JC i: . ~ -
~iE: The Estate of 4~ A P. C U, A N D R E w T.
Socia) Security No. 1 7q -U 5-4 7 99
Date of Death: G E/ 16 /86
Nesident of 5 T. L U C 1 E County,
State of F t-
Validation Date: 0 9/ 2 b/~; E
Issue Date: l0/27/86
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~ CERTIFICAl'E NUMBER Aa 114 y~
THIS IS TO CERTIFY, That in accordance with the provisions of Chapte? 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 ascertainecl that the abave Estate is not subject to 4he
Florida Estate Tax. The issuance of this Certificate, however, shall not preclude the ass~ssment
and collection of Estate Taxes subsequently determined to be due th~ State of Florida.
(f proof of nonliability by the abave Estate for the Florida Estate Tax is required by any
person, this Certificate may be exhibited as evidence of such nonliability.
G+ven in triplicate under my hand and the Seal of the State of Florida.
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~ _ - ' " - _ - RANDY MILIER EXEC VF DIRECTOR
- DEPAHTM NT OF REVENUE
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10/27/8E~
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