RECORDING REQUESTED BY:
_____________________________________
WHEN RECORDED MAIL TO:
Name:________________________________
Address:______________________________
City: _________________________________
State, Zip:_____________________________
Above Space for Recorder’s Use Only
DECLARATION OF ABANDONMENT
OF DECLARED HOMESTEAD
APN NO. __________________________
The undersigned declare(s) that _______ hereby abandon(s) the homestead previously declared in the Homestead executed
(HE, SHE, THEY)
executed by ___________________________________________________________________________________________
(FULL NAME OF DECLARANT(S)
On _______________________,____________, and recorded on _________________________________, _____________,
in Book _________________, Page ________________, as Instrument No. _________________, in the Official Records of the
County Recorder of ______________________________________________________________________ County, California.
______________________________________
Date
______________________________________
______________________________________
SIGNATURE OF DECLARANT
SIGNATURE OF DECLARANT
______________________________________
_____________________________________
PRINT FULL NAME
PRINT FULL NAME
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
__________________________________________ } ss
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
DHA (01/01/2015)