Form Ct-792 Uge - Certificate Releasing Connecticut Estate Tax Lien November 2005
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1RESET FORM
Department of Revenue Services
Form CT-792 UGE
Estate Tax Section
PO Box 2972
Certificate Releasing Connecticut
Hartford CT 06104-2972
Estate Tax Lien
(New. 11/05)
For estates of decedents dying on or after January 1, 2005
Complete this form and file with Form CT-4422 UGE, Application for Certificate Releasing Connecticut Estate Tax Lien.
Mail to:
Decedent’s Last Name
Decedent’s First Name and Middle Initial
Name
Street Address
Connecticut Probate Court
Date of Death
City, State, ZIP
Decedent’s Social Security Number
• •
• •
__ __ __
__ __
__ __ __ __
•
•
Property Address
Number and Street Address
City or Town
Department of Revenue Services Use Only
This certifies that the statutory lien for Connecticut estate tax with respect to the decedent’s interest in the real property
described above are released by the Commissioner of Revenue Services.
Dated at Hartford this
day of
,
.
Pam Law
Commissioner of Revenue Services
By
Rosemary Cleary
Tax Division Chief
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