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~ PLEASE RETURN TO: C. RxCHA,RD, SHAMEL, JR.
212 NORTH FEDEI2.AL HWY .
. ~ Dk;ERF~ELp BBACH, FL 33~41
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' ~ STATE OF FLOR{DA
QEP~4RTMENT OF REVENUE ~
` • ~'~~~"F'l~~~ TALI.AHASS~E, FL.Ot~1~A 3230A - . '
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;~.~~,p~~ ~i~i~i~Aa~i.~ CE~i t~ii.ATi ~ AN~ _~t~CEtP~
RANUY MILIER ~ ~0~ ESTATE TAX ~
EXECUTNE OIRECTOR '
TQ; C. _Richard Shamel, Jr. , PA RE: The£:taleoi TwaYdoWSk~ Lil,],i an ~
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_ 212 N. Federal Hw,y_ DECEASEU
~ . T~PPY`f~P1d g.,~aCh:,--_FL.-~.3~?1~1 R~siae?vro~ Queens ~COUNTV,
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STATE OF N eW Y o rk
~ DATE: - 3~"2~1-82 .
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~ William Drogsler, Person in Poss. 4
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~ TH1S IS TO CE RTI FY, That in accorcian~e wiih the provisia~r~~ of Chapter 158, `
~ - Florida Statutes, there has b~en filed with this office a sworn report or return for Estate
Taxes as required by iaw and on the basis thereof it has been ascertained the above estate
is not subje~t to the Flor-ida Est~te Tax. The issuar~ce of this certificate, however, shall
not preclude the assessment and co{lection of Estate Taxes subsequentiy determined to be
due the State of Florida. ~
tf proof of non {iabi{ity by the ~bov~ estate for the Fiarida Estate Tax is required
b~ ar~y pErson ~his Certificate ma~r be exhibit~u as evidence of such nan liabif i~y. ~
Given in quadru~licate under my hand and the seal of the State of Florid~a. {
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~ Executive Director
~ ~ ~ Department of Revenue ~ ~
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Not va{id without seal affixed. -
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