CA HOMESTEAD - HOMESTEAD DECLARATION

RECORDING REQUESTED BY

 AND WHEN RECORDED MAIL TO

NAME
ADDRESS

CITY
STATE & ZIP

TITLE ORDER NO.                                       ESCROW NO.                                  APN NO.                             

                                                           HOMESTEAD DECLARATION                                                                     

________________________________________________, the undersigned:

(a)     Hereby claim as a declared homestead the premises described in Exhibit A attached hereto.

(b)    Hereby affirm that I am the declared homestead owner of the above-declared homestead.

(c)    Hereby affirm that I own the following interest in the above-declared homestead ______________________________________________________ (for example, fee simple).

(d)    Hereby affirm that the above-declared homestead is ___________________________________ (for example, my principal dwelling or the principal dwelling of my spouse).

(e)    By my further act of causing this declaration to be recorded shall constitute a representation that _______________________________________________________reside(s) in the above-declared homestead on         the date this declaration is recorded.

(f)     Hereby affirm that the facts stated in this Declaration are true as of my personal knowledge.

Dated__________________________                _______________________________________

State of California

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)