Homestead Declaration Page 4
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4CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
STATE OF CALIFORNIA
)
)
COUNTY OF ______________________________
)
On __________________, before me, _________________________________, a Notary
(Date)
(Notary Name)
Public in and for said State, personally appeared _______________________________________,
personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s)
whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they
executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the
instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the
instrument).
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing is
true and correct.
WITNESS MY HAND AND OFFICIAL SEAL
________________________________
Notary Public
OPTIONAL: DESCRIPTION OF ATTACHED DOCUMENT
Title of Document:
Homestead Declaration
Date of Document:
_________________________
Number of Pages:
_________________________
Capacities Claimed by Signers: Individual
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