CA Homestead Declaration 1

RECORDING REQUESTED BY

AND WHEN RECORDED MAIL TO:

HOMESTEAD DECLARATION

I, _________________________________ hereby certify and declare:

(a) I hereby claim as a declared homestead the premises described as follows:

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

(c) I own the following interest in the above-declared homestead: __________________.

(d) The above-declared homestead is _______________ (my principal dwelling or the principal dwelling of my spouse), and __________________________ is currently residing in that declared homestead.

(e) 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) The facts stated in this Declaration are true as of my personal knowledge.

Dated ______________________________________________________________

STATE OF CALIFORNIA

COUNTY OF ______________________ }SS.

On ________________________ before me, _____________________, a notary public in and for said County and State, personally appeared ___________________ personally known to me (or proved to me on the basis of satisfactory evidence) to 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.

WITNESS my hand and official seal.

__________________________________________

(Signature of Notary Public)

No guidelines are available for this form at this time.

No guidelines are available for this form at this time.