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STATE OF F1.QRIDA ~
OR.-302 D~PARTMENT OF REyE!!1UE '
R. 11/86 J 7 4~ TALLAHASSEE,~ FL`~R(a~~ 32399-O1Q0 ~36~32~. ~
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Randy Mlller ~
Executive Director NONTAXABLE CER ~TIFICATE AND RECEIPT =
• ~ FOR ESTATE TAX ~
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RE: The Estate of ?~hhVIN, ARtHUR ~
Social Security yo_ C~~'~ 1- 5~ 5 3 }
Date of Death: ~ ~ ~ g ~ ~ ~
Resident of 1~~STCNE.STEf~ County, ~
State of ~ Y -
Validation Date: 1 1/ 161 U7
Issue Data: 12 / 14 / ~ 7 ~
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CERTiFICATE NUMBER ~ b b 4 E ~t7 ~
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THi~ IS TO CERTIFY, that in accordance with the provisions of Chapter 198, Florida ~
Statutes, there has been fi~ed with this office a swom report or r~eturn for Estate Taxes as required !
by iaw, and on the bas+s thereof i# has been ascertained that the ab4ve Estate is not subject to the ~
Ftorida Estate Tax. The issuance of this Certificate, however, shall nat preclude the assessment
and coflection of Estate Taxes subsequently de#ermined to b~ due the State of Florida.
If proof of nonliability by the above Estate for the Fiorida Estate Tax is required by any ;
person, this Certificate may be exhibited as evidence of such noniiability. ;
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Given in triplicate under my hand and the Seal of thP State of Fiorida. f
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- - - _ ' - - ~ 5~~~ RAN~Y MlLIE EXEC VE DlRECTOA
' DEPARTM NT O~ REVENtJE
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