Homestead Declaration Form - State Of California
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1RECORDING REQUESTED BY
WHEN RECORDED MAIL TO
NAME
ADDRESS
CITY
STATE & ZIP
Title Order No.
Escrow No.
SPACE ABOVE THIS LINE FOR RECORDER'S USE
HOMESTEAD DECLARATION
(SPOUSES AS DECLARED OWNERS)
We, _____________________________________________________ and ______________________________________________
(Full Name of Declarant)
(Full Name of Declarant)
do hereby certify and declare as follows:
(1) We are married to each other.
(2) We hereby claim as a homestead, and make ours elves declared homestead owners of, 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]
(3) I, _______________________________________________________________________________________________
(Name of First Spouse)
own the following interest in the above declared homestead:
(4) I, _______________________________________________________________________________________________
(Name of Second Spouse)
own the following interest in the above declared homestead:
(5) The above declared homestead is the principal dwelling of __________________________________________________
(Name of one or both Spous es, which ever is applicable)
and _____________ currently reside(s) in that declared homestead.
(he, she or we)
(6) The facts stated in this Declaration are true as of our personal knowledge.
Dated, _____________________________ , 20 ______
__________________________________________________
Signature of Declarant
A notary public or other officer completing this certificate verifies only the
__________________________________________________
identity of the individual who signed the document to which this certificate
Signature of Declarant
is attached, and not the truthfulness, accuracy, or validity of that document.
STATE OF CALIFORNIA
COUNTY OF ___________________________
On ______________________________ before me, the undersigned,
_______________________________________ a Notary Public in and
for said County and State, 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
Signature ________________________________________
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