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STATE OF FLORIDA ~J '
, DEPARTMENT OF REVENUE ~~D~ /
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. ~ 86~151
2~+, sb ' ' TALLAHASSEE. FLORIDA 32399-0100
Randy Mfller NONTAXABLE CERTIFICATE AND RECEIPT
~xecutiv~ Director ~ ~
FOR ESTATE TAX
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y~'~ V?4i~~I~'IA AVF.
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f T• f=I~~'tF~, FL
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RE: The Estate of T A R r, E~ E~ h~R F. ~
Social Security No. 5"~ ~-O y° g ~
Date of Death: +~9~''?~86 ~
Resident of ~~R ~ I NGT U*t County,
State of r~ ~ . ~
Validation Date : n~ i~ 4~~ 7 ~
issue Date: 2 3/ n 7
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~ C E R T I F I C A T E N U M B E R a n y z 9 1 g ~
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THIS IS TO CERTIFY, that in accordance with the provisions of Chapter 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 ascertained that the above Estate is no4 subject to the :
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.
If proof of nonliability by the above Estate for the Florida Estate Tax is required by any
~srson, this Certificate may be exhibited as evidence of such nonliability.
Given in triplicate under my hand and the Sea! of the State of Florida.
ST~,~ 86~3151
~ RANUY MILIE EXEC DIRECTOR
_ ~ ~An ~ 2 P 2:39 DEPARTM NT OF REVENUE
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