RECORDING REQUESTED BY
AND WHEN RECORDED MAIL TO
NAME
ADDRESS
CITY
STATE & ZIP
TITLE ORDER NO. ESCROW NO. APN NO.
AFFIDAVIT OF DEATH OF SPOUSE
(PROPERTY HELD AS COMMUNITY PROPERTY WITH RIGHT OF SURVIVORSHIP)
State of California
County of } SS
____________________________________________________, of legal age, being first duly sworn, deposes and says:
That ________________________________________________, 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 ____________________________________ dated ___________________________, executed by ______________________________________________________________________________________,
to ______________________________________________________________________________________________,
as Community Property with Right of Survivorship, recorded _________________________, as Instrument No. ______________________ , of Official Records of _______________________________________County, California, covering the following described property:
See Exhibit “A” is attached hereto and made a part hereof
__________________________________________
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 __________)
Subscribed and sworn to (or affirmed) before me on this____day of _______________, 20__________, by __________________________________________________________________, proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.
____________________________________
Notary Signature
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