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~ ~ STATE OF FL.ORIDA
~1 ~ ' DEPP.RTMENI' OF R~VENUE •
• y~ey~z"ES~~4 - TALLAHASSEE~ FLORIDA 32304 ~ ~~'~t~p
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~y~~~,,,~~ ~lONTAXA~LE CERTtfiCATE AND RECEIPT
RANDY MILIER ~QR ESTATE TAX
EXECUTIVE QIRECTOR -
TQ; Harolr7 Sh~ar., Atitr. RE: TAe Estate of e+-~~-,--~~~e.~.a a
~ 9~i1 C'nlnrarin ~~=C~-~?2~ DECEASED c ~i ~ ~~n_ -
~ RESIDENT OF COUNTY,
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- ~ STATE OF
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DATE: ~
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Margaret M. S~trader, PR ~ ~ O~~~~
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~HiS IS TO CE RTI FY, That in accordance- with the provisions of Chapter 198, ~
~ Fiorida Statutes, there has been filed with this cffice a sworn report or ~retum #or Estate
Taxes as reguired by law a~d on the basis thereof it has been ascert~ined the above estate
is not subject to the Florida Esta#e Tax. The issuance of this certificate, however, shall
~ not preclude the as~~ssment and collection of Estate Taxes subsequently determined to be
~ due the State of Florida. - ~
~ I.f proof of non liability by the above estate for the Florida Estate Tax is required
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~ by any person this Certificate may be exhibited as evidence of such non liability. "
Given in quadruplicate under my hand and the seal of the State of Florida. .
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i -~ti~=~ ` . Executive Director
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~..-fy'C ~ ~ Department of Revenue ~
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