Recording requested by (name):
____________________________________________
When recorded mail to
and mail tax statements to:
____________________________________________
__________
__________________________________
__________
__________________________________
__________
__________________________________
AFFIDAVIT – DEATH OF
JOINT TENANT
Assessor
’s Parcel No. (APN):
________________________________
Declaration of Exemption From Gov’t Code § 27388.1 Fee
Transfer is exempt from fee per GC § 27388.1(a)(2):
recorded concurrently “in connection with” transfer subject to
Documentary Transfer Tax
recorded concurrently “in connection with” a transfer of
residential dwelling to an owner-occupier
Transfer is exempt from fee per GC 27388.1(a)(1):
Fee cap of $225.00 reached Not related to real property
__________________________________, of legal age, being first duly sworn, deposes and says:
__________________________________, 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 deed dated _______________, and executed by
____________________________________________________________________________________ to
______________________________________________________________________________________,
as Joint Tenants, recorded on _______________ as Instrument No _______________ in Book/Reel
_______________, Page/Image _______________, of the Official Records of _______________ County,
California, covering the following described property situated in _______________ County, California:
Dated ____________________ ____________________________________________
(Signature of declarant)
____________________________________________
(Type or print name of declarant)
