Revocation Of Revocable Transfer On Death Deed Form
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1
2Recording requested by (name):
____________________________________________
When recorded, mail to
and mail tax statements to:
____________________________________________
____________________________________________
____________________________________________
____________________________________________
Recorder’s Use Only
REVOCATION OF REVOCABLE
This document is exempt from documentary transfer tax
under Rev. & Tax. Code § 11930. This document is
TRANSFER ON DEATH DEED
exempt from preliminary change of ownership report
under Rev. & Tax. Code § 480.3.
(California Probate Code Section 5600)
Assessor’s Parcel No.: ________________________
IMPORTANT NOTICE: THIS FORM MUST BE RECORDED TO BE EFFECTIVE
This revocation form MUST be RECORDED before your death or it will not be effective. This revocation form
only affects a transfer on death deed that YOU made. A transfer on death deed made by a co-owner of your
property is not affected by this revocation form. A co-owner who wants to revoke a transfer on death deed that
he/she made must complete and RECORD a SEPARATE revocation form.
PROPERTY DESCRIPTION
Print the legal description of the property affected by this revocation:
REVOCATION
I, _________________________________, am the transferor under the Revocable TOD deed dated
________________ and recorded on ________________ as Instrument No. ______________ in Book/Reel
________, Page/Image ________, of Official Records of _______________________________________
County, California, which named as beneficiary(ies) ____________________________________________
_____________________________________________________________________________________.
I hereby revoke any TOD deed to transfer the described property that I executed before executing this form,
including the TOD deed described above.
SIGNATURE AND DATE
Sign and print your name below (your name should exactly match the name shown on your title documents):
Date: _____________________
_____________________________________________
(Signature of declarant)
_____________________________________________
(Typed or written name of declarant)
6/3/16
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