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4        State of Rhode Island Division of Taxation                                                                                        4
5        Form T-77                                                                                                                         5
6        Discharge of Estate Tax Lien                                          16160699990101                                              6
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   Decedent's first name                             MI     Last name          Suffix
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10 XXXXXXXXXXXXXXXXXXXX      X             XXXXXXXXXXXXXXXXXXXXX XXX                                                                       10
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   Decedent’s address- legal residence (domicile) at time of death ("late of")                  Date of Death:
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13 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                            10/15/2016                                 13
14 Address 2                                                                                                                               14
15                                                                                                                                         15
16 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                       16
17 City, town or post office                                                                    State ZIP code                             17
18                                                                                                                                         18
19 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                            XX    99999                                19
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22                           DISCHARGE OF ESTATE TAX LIEN                                                                                  22
23                                                                                                                                         23
24                                                                                                                                         24
25 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 25
26 the city or town listed below and belonging to the below named decedent has been discharged.                                            26
27                                                                                                                                         27
28                                                                                                                                         28
            DESCRIPTION AS RETURNED UPON STATEMENT FILED WITH THE RI DIVISION OF TAXATION
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31                           CITY OR TOWN: XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                   31
32                                                                                                                                         32
33                           ADDRESS:      XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                   33
34                                                                                                                                         34
35       TAX ASSESSOR'S DESCRIPTION:       XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                   35
36                                                                                                                                         36
37          ASSESSED IN THE NAME(S) OF:    XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                   37
38                                                                                                                                         38
39                                         XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                   39
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46                                                                              Tax Administrator's Seal                                   46
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48                                                                                                                                         48
49                                                                             Date:                                                       49
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51                                                                             Account #                                                   51
52 RETURN RECORDED DOCUMENT TO:                                                                                                            52
53                                                                                                                                         53
54 Name:                  XXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                     54
55                                                                                                                                         55
56 Address:               XXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                     56
57                                                                                                                                         57
58 City, State, ZIP Code: XXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                     58
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                             RI Division of Taxation - One Capitol Hill - Providence, RI 02908
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                                                                                                                 Revised 11/2020

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4   State of Rhode Island Division of Taxation                                                          4
5   Form T-77                                                                                           5
6   Discharge of Estate Tax Lien                                                                        6
7                                                                                                       7
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                             INSTRUCTIONS FOR FORM T-77 
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12                      THIS FORM MUST BE TYPED AND SUBMITTED                                           12
13                               ONE PROPERTY PER FORM                                                  13
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15 Header information:                                                                                  15
16 Enter the full name of the deceased along with the deceased's complete address at the time of death. 16
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20 Definitions:                                                                                         20
    
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22 CITY OR TOWN means the city or town where the property is located.                                   22
23  DO NOT USE VILLAGE NAMES (i.e. Esmond, Wakefield, etc)                                              23
24                                                                                                      24
25 ASSESSED IN THE NAME(S) OF means the names as listed on the property tax bill.                       25
26  (John Smith et als; Joe Jones et ux Mary; Jane Smith and Mary Jones, JT)                            26
27                                                                                                      27
28 DESCRIPTION RETURNED means The property description should reflect the TAX ASSESSOR'S                28
29                                                                                                      29
   DESCRIPTION.  Usually PLAT & LOT; MAP, BLOCK & PARCEL or BLOCK & PARCEL 
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32 LATE OF means the city or town the person resided in at the time of death.                           32
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37                                                                                                      37
38 • ANY FORMS NOT PROPERLY COMPLETED WILL BE RETURNED                                                  38
39 • FORM T-77 MUST BE TYPED AND BE WITHOUT ERROR OR IT WILL BE RETURNED                                39
40 • A PROCESSING FEE MAY BE CHARGED FOR CORRECTIVE DISCHARGES                                          40
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                        RI Division of Taxation - One Capitol Hill - Providence, RI 02908
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