Form T-77 - Discharge Of Estate Tax Lien

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State of Rhode Island and Providence Plantations
Form T-77
16160699990101
Discharge of Estate Tax Lien
Suffix
Decedent's first name
MI
Last name
Decedent's social security number
Decedent’s address- legal residence (domicile) at time of death ("late of")
Date of Death:
Address 2
City, town or post office
State
ZIP code
DISCHARGE OF ESTATE TAX LIEN
You are hereby notified that the lien imposed by R.I. Gen. Laws Section 44-23-12 upon the following described real property situated in
the city or town listed below and belonging to the below named decedent has been discharged.
DESCRIPTION AS RETURNED UPON STATEMENT FILED WITH THE RI DIVISION OF TAXATION
CITY OR TOWN:
ADDRESS:
TAX ASSESSOR'S DESCRIPTION:
ASSESSED IN THE NAME(S) OF:
Tax Administrator's Seal
Date:
Account #
RETURN RECORDED DOCUMENT TO:
Name:
Address:
City, State, ZIP Code:
RI Division of Taxation - One Capitol Hill - Providence, RI 02908
Revised 03/2016

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