Form Ct-792 - Certificate Releasing Connecticut Succession And Estate Tax Liens

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Form CT-792
Department of Revenue Services
Estate Tax Section
PO Box 2972
Certifi cate Releasing Connecticut
Hartford CT 06104-2972
Succession and Estate Tax Liens
(Rev. 03/11)
For estates of decedents dying before January 1, 2005
Complete this form and fi le with Form CT-4422, Application for Certifi cate Releasing Connecticut Succession and Estate Tax Liens.
Mail to:
Decedent’s last name
Decedent’s fi rst name and middle initial
Name
Street address
Connecticut Probate Court
Date of death
City, state, ZIP
Connecticut File Number, if known
Property address
Number and street address
City or town
Department of Revenue Services Use Only
This certifi es that the statutory liens for Connecticut succession tax and 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
,
.
Kevin B. Sullivan
Commissioner of Revenue Services
By
Rosemary Cleary
Tax Division Chief

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