Request For Notice Of Delinquency Form - State Of California
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1RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
SPACE ABOVE THIS LINE FOR RECORDER’S USE
REQUEST FOR NOTICE OF DELINQUENCY
In accordance with California Civil Code Section 2924e, request is hereby made that a written notice of any or all delinquencies of
four months or more in payments of principal or interest secured by Deed of Trust recorded as Instrument No.
_____________________,
on
_________________
in
Book
__________,
Page
__________
of
Official
Records
of
________________________________ County, California and describing land therein as having a street address known
as
___________________________________________________
executed by
___________________________________
as
Trustor
in
which
________________________________________________
is
named
as
Beneficiary,
Loan
No.
_______________________
(if
available),
and
____________________________________________________________________
as
TRUSTEE,
be
mailed
to
_____________________________
at
______________________________________,
which is a lender under a new loan,
secured by a deed of trust on the land described above. The maturity date of the junior lien is
__________________________.
Executed this ______________________________
TRUSTOR/CURRENT PROPERTY OWNER:
BENEFICIARY
Dated: __________________________________
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 the truthfulness, accuracy, or validity of that document.
STATE OF CALIFORNIA
}
ss:
COUNTY OF
On
before me,
, Notary Public,
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
(Seal)
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