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 OWNING MAINE PROPERTY
Page ________ of _______
(PLEASE GIVE REGISTRY REFERENCES)
Return to:
Estate of:
________________________
Late of:
________________________
Date of Death: ________________________
I, the State Tax Assessor, 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
certifi cate is to be recorded in the Registry of Deeds as provided by 36 M.R.S.A. §§ 4072 & 4112.
Location of property ______________________________________________________________________________
NUMBER
STREET
CITY OR TOWN
ZIP CODE
As described by Deed dated __________________________________________________________ and recorded in
__________________________________________________ Book no.____________ Page no.__________, or more
REGISTRY OF DEEDS
particularly described as follows (full legal description not necessary, include fair market value of each property):
This discharge is not valid unless dated and signed below by the State Tax Assessor.
_________________________________________________
Date signed: __________________
Dennis M. Doiron, Director
Income/Estate Tax Division
Augusta
for
State of Maine
State Tax Assessor
Kennebec, SS
Maine Revenue Services
Augusta, Maine
REV 9/13

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