Free PC-250 - Connecticut

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CERTIFICATE OF DEVISE, DESCENT, OR DISTRIBUTION PC-250 REV. 10/08

STATE OF CONNECTICUT

COURT OF PROBATE [Type or print in black ink. File certificate with town clerk where real property is situated.] COURT OF PROBATE, DISTRICT OF ESTATE OF DISTRICT NO. DATE OF DEATH

,deceased Pursuant to C.G.S. §45a-450, this certifies that as appears from the records of this Court, said deceased died on the date above written, and the following real property of the decedent is devised or distributed or set out or divided or descends to: [Give name, place of residence, and share of distributee. Give street or lot number of real property or, if none, a brief description of the location. C.G.S. §45a-450.]

For a more particular description, reference should be made to the records of said probate court. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the Seal of this Court on this day of , 20 .

Court Seal ................................................................................................................. Judge FOR TOWN CLERK'S USE ONLY Original to: Date sent: Clerk Ass't Clerk

FOR COURT USE ONLY

CERTIFICATE OF DEVISE, DESCENT, OR DISTRIBUTION PC-250

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