RETURN TO: RECORDED: STATE OF CONNECTICUT COURT OF PROBATE CERTIFICATE RELEASING CONNECTICUT ESTATE TAX LIEN (Non-Solely-Owned Property) PC-256A REV. 10/08 [For estates of decedents dying on or after January 1, 2005.] [NOTE: File a separate certificate with the town clerk in each town where real property is situated.] COURT OF PROBATE, DISTRICT OF DISTRICT NO. ESTATE OF DATE OF DEATH PROPERTY ADDRESS [Enter the address of the property for which a release of lien is requested.] City State Street MORE PARTICULARLY DESCRIBED AT: OF THE VOLUME PAGE [Attach Schedule A with description of property, if necessary.] GRANTOR Zip Code LAND RECORDS GRANTEE Probate Court Use Only This is to certify that, by the files and records of this court, the gross taxable estate of said decedent included the decedent's interest in all or a portion of the real property described in the deed or deeds recorded in the volume and page of the land records of the town above written and that, in accordance with C.G.S. §12-398(e), no Connecticut estate tax will be due with respect to said interest. This will further certify that any lien for estate tax of the State of Connecticut with respect to the decedent's interest in the real property described above is released by the Judge of Probate from the operation of such lien. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the Seal of this Court on this day of ,20 Court Seal .......................................................................... FOR TOWN CLERK'S USE ONLY Judge FOR COURT USE ONLY ORIGINAL TO: DATE: CERTIFICATE RELEASING CONNECTICUT ESTATE TAX LIEN PC-256A American LegalNet, Inc. www.FormsWorkflow.com