CA Affidavit - Death of Transferor Under Revocable Transfer on Death Deed and Affidavit - Notice of Revocable Transfer on Death Deed

RECORDED REQUESTED BY

WHEN RECORDED MAIL TO:

Affidavit - Death of Transferor Under Revocable Transfer on Death Deed and
Affidavit - Notice of Revocable Transfer on Death Deed
(California Probate Code § 5680 and § 5682)

APN: 

STATE OF CALIFORNIA}

                                            }ss

COUNTY OF __________}

____________________, of legal age, being first duly sworn, deposes and states under penalty of perjury:

That _______________, the decedent mentioned in the attached certified copy of Certificate of Death, is the same person named as the transferor in that certain Revocable Transfer on Death Deed dated __________, executed by ________________, as transferor, to ____________________, as beneficiary(ies), recorded __________________, as Instrument No. _________________ of Official Records of ______________County (“Revocable Transfer on Death Deed”), covering the property described in Exhibit “A” attached hereto and made a part hereof.

AND

That I, _________________, the undersigned affiant and a beneficiary under the Revocable Transfer on Death Deed, served the notice required by Probate Code Section 5681.

Dated:______________                                                                  By:_______________________________________

State of California

County of ______________________

Subscribed and sworn to (or affirmed) before me on this _______ day of ____________________, 20___ by

_______________________________, personally known to me or provided to me on the basis of satisfactory evidence to be the person(s) who appeared before me.

_______________________________________           
Notary Public Signature    

Mail Tax Statement to:  Same as Above