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sTATE OF PLAlUDA ~
DEi~ARTl~NT OF REHFt~1llE ~
a~~~~ 0 6 514 8 TALI.AHAgrS~~l FLORIDA. 82399-0100 ,
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Executfve DireGtor NONTAXABLE ~ CERTIFICATE AND RECEIPT
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~ ~ . FOR ESTATE TAX
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T0: CHE~SEA TiTi.E COM!?aNY ~
1495 SE PORT
ST. . ~.tIC IE , 8~110.
~ PORT ST. tUCIE,: fl ~
3+~952
RE: The Estate of OE 6ARGI`, CONS~Ak2A M.
Social Security No. 949-9l-99!!
Date of Death: ~j't~~~
Resident of ST L~~E County,
State of f~
Validation Date: ~~~;~s~
Issue Date: 09/2d/AT
CERTIFICATE NUMBER ~AA56393
THIS iS TO CERTIFY, that in accord~nce with the provlsions of Chapter 198. Fiorida
Statutes~ there has been filed with this office~ a sworn report or retum for Estate Taxes as .required
by iaw, and on the basis thereof it has been ascertained thet the above Estate is not subject to the
- Fiorida Estate Tax. The issuance of this Certificate~ however~ shali not preclude the assessment
and collection of Estate Taxes subsequentiy determined to be due the State of Florida. ~
If proof of noniiability by the above Estate for the Florida Estate Tax is required by any
; person, this Certificat~ may be exhibited as evidence of such nontiability. ,
Given in triplicate under my hand and the Seai of the State of Fiorida.
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v~ ~~S ISIO ~L7 OEP OF REVENUE
FILED • `~r . ~ ~
' * DOUGLAS C;~': r' `:l.f~~. , -
ST. LUClE CC~3'; T Y. ~ L.
. ' 0l~Ze/A7
~ $ooK 560 P~f 9$3
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