STATE OF CONNECTICUT APPLICATION FOR CERTIFICATE RELEASING CONNECTICUT COURT OF PROBATE SUCCESSION AND ESTATE TAX LIENS PC-205S NEW 7/2000 [Type or print in black ink. Complete this form and file in the probate court with PC-256S for each property location for which a release of lien is requested.] TO: COURT OF PROBATE, DISTRICT OF ESTATE OF
RECORDED:
DISTRICT NO. DATE OF DEATH
PROPERTY ADDRESS [Enter the address of the property being sold, transferred, or mortgaged for which a release of lien is requested.] Street City State Zip Code
MORE PARTICULARLY DESCRIBED AT: PAGE OF THE VOLUME ] [Attach Schedule A with description of property, if necessary. LAND RECORDS
Was this property reported on the decedent's Connecticut Form S-1 or Is the estate required to file a federal Form 706, United States Estate (and Generation-Skipping Transfer Tax) Return? Form S-2, Succession Tax Return ? YES NO YES NO ESTIMATED CONNECTICUT SUCCESSION AND ESTATE TAXES 1A Estimated gross estate for succession tax purposes . 1 B. Estimated amount passing to each beneficiary class: AA $ A$ B.$ C$ 2 Exempt Classes $ $ 1A. $
2. Estimated gross estate for estate tax purposes
AFFIRMATION [This form shall be executed by either the fiduciary/survivor OR the attorney/authorized representative.] The undersigned affirms that no succession or estate tax will be imposed on this estate. The representations contained herein are made under the penalties of false statement. Fiduciary's/Survivor's Name [If there is more than one fiduciary, complete information for all.] Attorney or authorized representative's name
Signature of fiduciary/survivor
Date
Signature of attorney or authorized representative
Date
Street Address
Firm name and street address
City
State
Zip Code City
State
Zip Code
Telephone Number APPLICATION FOR CERTIFICATE RELEASING CONNECTICUT SUCCESSION AND ESTATE TAX LIENS PC-205S
Telephone Number
RESET