RECORDING REQUESTED BY:
_____________________________________
WHEN RECORDED MAIL TO:
Name:________________________________
Address:______________________________
City: _________________________________
State, Zip:_____________________________
____________________________
APN NO::
Above Space for Recorder’s Use Only
HOMESTEAD DECLARATION
I,
_______________________________________________________________________________________________
do hereby certify and declare as follows:
1.
I hereby claim as a declared homestead the premises located in the City of ___________________________________
County of ________________________________________________, State of California, commonly known as
______________________________________________________________________________________________,
Street Address
and more particularly described as follows: (Give complete legal description)
_______________________________________________________________________________________________
_______________________________________________________________________________________________
2.
I am the declared homestead owner of the above declared homestead.
3.
I own the following interest in the above declared homestead:
_______________________________________________________________________________________________
_______________________________________________________________________________________________
4.
The above homestead is
my principal dwelling/ the principal dwelling of my spouse, and
(strike inapplicable clause)
I am / my spouse is currently residing on the declared homestead.
(strike inapplicable clause)
5.
The facts stated in this Declaration are true as of my personal knowledge.
_____________________________
___________________________________
Date
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
__________________________________________ } ss
County of
On _____________________________________ before me, ____________________________________________________
Date
Name and Title of officer
personally appeared ___________________________________________________ who 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 paragraph is true and
correct.
WITNESS my hand and official seal
_______________________________________________
Notary Signature
DH (01/01/2015)