STATE OF CONNECTICUT APPLICATION FOR CERTIFICATE RELEASING CONNECTICUT ESTATE TAX LIEN PC-205 REV. 10/08 RECORDED: COURT OF PROBATE [For estates of decedents dying on or after January 1, 2005.] . [Type or print in black ink. Complete this form and file in the probate court with PC-256 for each property location for which a release of lien is requested.] TO: COURT OF PROBATE, DISTRICT OF DISTRICT NO. ESTATE OF DATE OF DEATH PROPERTY ADDRESS [Enter the address of the property being sold, transferred, or mortgaged for which a release of lien is requested.] Street City State Zip Code MORE PARTICULARLY DESCRIBED AT: VOLUME PAGE OF THE ] [Attach Schedule A with description of property, if necessary. LAND RECORDS Is the estate required to file a federal Form 706, United States Was this property reported on the decedent's Connecticut Form CT-706 NT, Connecticut Estate Tax Return (For Nontaxable Estates)? Estate (and Generation-Skipping Transfer Tax) Return? YES NO Will be reported when CT 706 NT is filed. YES NO ESTIMATED CONNECTICUT ESTATE TAXES 1. Estimated gross estate for estate tax purposes as provided in Ch. 217 and 218 of the Conn. General Statutes. 1. $ 2. Estimated Connecticut taxable estate. 2. $ AFFIRMATION [This form shall be executed by either the fiduciary/survivor OR the attorney/authorized representative.] The undersigned affirms that no Connecticut estate tax will be imposed on this estate. The representations contained herein are made under the penalties of false statement. Fiduciary's/Survivor's Name [If there is more than one fiduciary, complete information for all.] Date Signature of fiduciary/survivor Signature of attorney or authorized representative Date Firm name and street address Street Address City Attorney or authorized representative's name State Telephone Number APPLICATION FOR CERTIFICATE RELEASING CONNECTICUT ESTATE TAX LIEN PC-205 Zip Code City State Zip Code Telephone Number American LegalNet, Inc. www.FormsWorkflow.com