RECORDING REQUESTED BY
AND WHEN RECORDED MAIL DOCUMENT AND
TAX STATEMENT TO:
NAME
STREET
ADDRESS
CITY, STATE &
ZIP CODE
TITLE ORDER NO. ESCROW NO. SPACE ABOVE THIS LINE FOR RECORDER’S USE ONLY
APN:
ABANDONMENT OF HOMESTEAD
The undersigned declare(s) that he/she/they hereby abandon(s) the homestead previously declared in the
Homestead Declaration executed by
on , and recorded on , as Instrument No.
in the Official Records of the County Recorder of County, State of California,
pertaining to the following real property:
and commonly known as (street address):
Dated: ___________________________ ___________________________________________
(Signature of Owner/Declarant)
___________________________________________
(Typed or Printed Name of Owner/Declarant)
___________________________________________
(Signature of Owner/Declarant)
___________________________________________
(Typed or Printed Name of Owner/Declarant)
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 )SS
COUNTY OF )
On __________________________________, before me, ___________________________________________, personally appeared
(Date) (Name and title of the officer)
_____________________________________________________________________, who proved to me on the basis of satisfactory
(Name of person signing)
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)
* There are various types of forms depending on each person’s legal status. Before you use this form you may want to consult an
attorney if you have questions concerning which document form is appropriate for your transaction.
