Recording requested by (name): ____________________________________________ When recorded mail to and mail tax statements to:
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
Recorder’s Use Only
AFFIDAVIT – DEATH OF JOINT TENANT Assessor’s Parcel No. (APN): ________________________________
Declaration of Exemption From Gov’t Code § 27388.1 Fee Transfer is exempt from fee per GC § 27388.1(a)(2): recorded concurrently “in connection with” transfer subject to Documentary Transfer Tax recorded concurrently “in connection with” a transfer of residential dwelling to an owner-occupier Transfer is exempt from fee per GC 27388.1(a)(1): Fee cap of $225.00 reached Not related to real property __________________________________, of legal age, being first duly sworn, deposes and says:
__________________________________, the decedent mentioned in the attached certified copy of Certificate of Death, is the same person as ______________________________, named as one of the parties in that certain deed dated _______________, and executed by ____________________________________________________________________________________ to ______________________________________________________________________________________, as Joint Tenants, recorded on _______________ as Instrument No _______________ in Book/Reel _______________, Page/Image _______________, of the Official Records of _______________ County, California, covering the following described property situated in _______________ County, California:
Dated ____________________ ____________________________________________ (Signature of declarant)
____________________________________________ (Type or print name of declarant)
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
Recorder’s Use Only
AFFIDAVIT – DEATH OF JOINT TENANT Assessor’s Parcel No. (APN): ________________________________
Declaration of Exemption From Gov’t Code § 27388.1 Fee Transfer is exempt from fee per GC § 27388.1(a)(2): recorded concurrently “in connection with” transfer subject to Documentary Transfer Tax recorded concurrently “in connection with” a transfer of residential dwelling to an owner-occupier Transfer is exempt from fee per GC 27388.1(a)(1): Fee cap of $225.00 reached Not related to real property __________________________________, of legal age, being first duly sworn, deposes and says:
__________________________________, the decedent mentioned in the attached certified copy of Certificate of Death, is the same person as ______________________________, named as one of the parties in that certain deed dated _______________, and executed by ____________________________________________________________________________________ to ______________________________________________________________________________________, as Joint Tenants, recorded on _______________ as Instrument No _______________ in Book/Reel _______________, Page/Image _______________, of the Official Records of _______________ County, California, covering the following described property situated in _______________ County, California:
Dated ____________________ ____________________________________________ (Signature of declarant)
____________________________________________ (Type or print name of declarant)
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