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~ ~ ~TATE OF FLORIDA ~ L~' /
~ DERARTM~NT OF; R~YENUE 1 :
v~,"E::,,EG ~ TALLAHASSEE. FL.ORIDA 3230A
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~ u~~~o,~~~'a ~l4wT~IXABLE C.ER~IFICATE AHD RECEiPT ~
RANOY MILIER . FQR ESTATE TAX
EXECUTIVE DIRECTOH . -
TOo Ben L. Bryan, Jr., PA RE: TheEstateof Na~rtshorn, Gordon D.
P. 0. Box 3230 DECEASEO 3'3'82 •
~ _ Ft. P-ierce, FL 33454-'~2'~O RESIDENTOF HartfO~d COUNTY,
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~ STATEOF Conneeti~~~r
~ . DATE• G-27-HZ -
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~ Karin W. Hartshorn, Spouse ~ 4~097 ~
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_ ~"HIS IS TO CERTlFY, That in accordan~e with the provisions of Chapter 19$,
Flqrida Statu~es, there t;as b~en fifed with this office a sworn report or return for ~state ;
~ Taxes as iequirsd by law and on the basis thereof it has been ascertained the~above estate !
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is n~t subjec? to the Florida Estate Tax. The issuance of this certificate, howe~rer, shall ;
I_ not preciude the a~sessment a+~d collection of Estate Taxes subsequenfly determin~d to be -
due the State of Florida. ~ ~ - ~
~ ~ If proo~f af nan liability by the above es~ate for the Florida Estate Tax is required
~ by any person this Certificate may be exh~bited as Pvidence of such non liability. .
: - Giv~n in quadr~plic~te ur~der my hand and the seal of the State of Florida. . ~
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~ ~ ' - : Executive Director . ~ ;
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