RECORDING REQUESTED BY:
______________________________________
WHEN RECORDED MAIL TO:
Name:________________________________
Address:_______________________________
City:__________________________________
State, Zip:_____________________________
Above Space for Recorder’s Use Only
AFFIDAVIT OF DEATH OF TRUSTEE
Assessor’s Parcel Number: ____________________________
State of California
County of
__________________________________________ } ss
______________________________________________________, of legal age, being first duly sworn, deposes and says:
1. ______________________________________________, the decedent mentioned in the attached certificate copy of
_______________________ ,
Certificate of Death, is the same person as Trustee in that certain Declaration of Trust dated
_________________________________________________________________________ as trustor(s).
executed by
2. At the time of the decedent’s death, decedent was the owner, as Trustee, of certain real property acquired by a deed
recorded on
____________________________ , as instrument No. ____________________ in Official Records of
__________________________ County, California, covering the following described property situated in the said County,
State of California:
3. I am the surviving successor Trustee of the same trust under which said decedent held title as trustee pursuant to the
deed described above, and am designated and empowered pursuant to the terms of said trust to service as trustee thereof.
___________________
_________________________________
_________________________________________
Date
Print Name
Signature
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is
attached, and not to the truthfulness, accuracy, or validity of that document.
State of California
County of ___________________________________
_____ day of _____ , 20 ___ , by __________________________ ,
Subscribed and sworn to (or affirmed) before me on this
proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.
(Official SEAL)
__________________________________________
Notary Signature
ADT (01/01/2015)