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Katie D. Tucker NONTAXA~LE CERTIFICATE AND RECEIPT
= ~ ut~ve ~~rector
FOR ESTATE TAX ~F~= .9~ ppUGt.A~DiXON
1?~~ Fre = S! (.ucie County
~-~;ax i Clerk of Circu:; i:~ur.
_X ~O: CHEISEA TITLE COMPANY lnt'1`ax= ,~~~8y i_
1295 S.E. PORT ST. ~q ~k
LUC I £ BOULEVARD 1~ ~ •
PORT ST. LUtIE~ FL
34952
RE: The Estate of GRIFFITH~ AL6ERT C.
Social 5ecurity No. 358-36-4344
Date of Death: 09/19/86
Resident of XXXXX County,
State of NY
Validation Date: 01/10/90
Issue Date: 01/22/9~
CERTIFICATE NUMBER AB?9576
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THIS IS TO CERTtFY, that in accordance with the provisions of Chapter 198, Florida
~:;¢atutes, there has been filed with this office a sworn report or return for Estate Taxes as required
iaw, and on ihe basis thereof it has been ascertained that the above Estate is not subject to the
;~~;orida Estate Tax. The issuance of this Certificate, hawever, shall not preclude the assessment
i,~r~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
~:;~;rson, 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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