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STATE OF FLORI~A ' (
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Katie D. Tucker NONTAXABLE CERTIFICATE AND RECEIPT
Executive Director
FOR ESTATE TAX '
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RE: The Estate of gARTEL, MEl.BOURNE C. ~
Social Security No. 486-28-2006
Date of Death: 07/! 5/ 83
Resident of XXXXX County, ;
State of NJ '
Validation Date: O 1/ 10/ 90 ~
Issue Date: Ol / 10/ 90 ~
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F CERTIFICATE NUMBER I~B77999 j
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' THIS IS TO CERTIFY, that in accordance with the provisions of Chapter 198, Florida ~
E 5tatutes, there has been filed with this office a sworn report or return for Estate Taxes as required ~
~ i~y law, and on the basis thereof it has been ascertained that the above Estate is not subject to the j
~~=~orida Estate Tax. The issuance of this Certificate, hawever, shall not preclude the assessment '
~~~d collection of Estate Taxes subsequently determined to be due the State of Florida. ~
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If proof of nonliability by the above Estate for the Florida Estate Tax is required by any ~
~;~erson, this Certificate may be exhibited as evidence of such nonliability. {
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~ Given in triplicate under my hand and the Seal of the State of Florida.
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•90 JAN 23 A a : ~ . . '
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