Maine Revenue Services Certificate Of Discharge Of Estate Tax Lien Form

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MAINE REVENUE SERVICES CERTIFICATE OF DISCHARGE OF ESTATE TAX LIEN
FOR USE IN ESTATES OF DECEDENTS DYING ON OR AFTER JULY 1, 1986
Page _________ of ________
(PLEASE GIVE REGISTRY REFERENCES)
Return to:
Estate of
________________________
Late of
________________________
Date of death
________________________
I, the Executive Director, hereby certify that the real property listed below has been and hereby is discharged of any lien
for any estate tax, with any interest and penalty thereon, due because of the death of the above named decedent. This
certificate is to be recorded in the Registry of Deeds as provided by 36 MRSA, §4072.
Location of property _______________________________________________________________________________
NUMBER
STREET
CITY OR TOWN
ZIP CODE
As described by Deed dated _________________________________________________________ and recorded in
____________________________________________ Book no. ___________ Page no. ___________ , or
REGISTRY OF DEEDS
more particularly described as follows (full legal description not necessary):
Date signed: __________________
__________________________________________________
Executive Director
Augusta
State of Maine
Kennebec, SS

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