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3TATE OF RONIDA _W ~'"~CJrJ~ ~
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»i~ TALLAHASSEE. FLORIDA 32399-O1Q0 ~
to~ NONTAXABLE CERTIFICATE AND RECEIPT
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~ - ~ ` FOR ESTATE TAX
852i95
p To: cHE~sE~ f~~~E .
1295 SE P~T ST. • ~
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LUC~E. 6Lif 0. ~
PORT ST. LUCIE f~
349S2
RE: Tha Estate of INJLLANE, THONAS Y.
Social Secu~ity No. 123~03-~1~3
Dete of Death: 06~i1I7+~ ,
Resident of OUY11L County.
State of F~ ~
Validation Date: 09 /1 SlS7
Issue Date: ~9 /2S /87
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CERTIFICATE NUMBER AA56597 '
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~~i ~ . THIS IS TO CERTIFY, that in accordance with the provisions ~f Chapter 198. Florida -
~ Statutes, there has been filed with this office a swom report or retum for Estate Taxes as required
' by law, and on the basis thereof it has been ascertained that the above Estate is not subject to the ~
Fiorida Estate Tax. The issuanGe of this Certificate. however. shali not preclude the assessm~nt ~
and coliection of Estate Taxes subsequent{y determined to be due the State of Fiorida. ~
If proof of nonliability by the above ~state for the Fior~da Estate Tax is required by any
person, this Certificate may be exhibited as evidence of such nonliabtiity.
Given in triplicate under my hand and the Seal of the State of Florida.
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