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
SIMPLE REVOCABLE TRANSFER ON DEATH (TOD) DEED
(California Probate Code Section 5642)
ASSESSOR’S PARCEL NUMBER:
This document is exempt from documentary transfer tax under Revenue & Taxation Code 11930.
This document is exempt from preliminary change of ownership report under Revenue & Taxation Code 480.3.
IMPORTANT NOTICE: THIS DEED MUST BE RECORDED ON OR BEFORE 60 DAYS AFTER THE DATE IT IS SIGNED AND
NOTARIZED.
Use this deed to transfer the residential property described below directly to your named beneficiaries when you die. YOU SHOULD
CAREFULLY READ ALL OF THE INFORMATION ON THE OTHER PAGES OF THIS FORM. You may wish to consult an attorney
before using this deed. It may have results that you do not want. Provide only the information asked for in the form. DO NOT INSERT
ANY OTHER INFORMATION OR INSTRUCTIONS. This form MUST be RECORDED on or before 60 days after the date it is signed
and notarized or it will not be effective.
PROPERTY DESCRIPTION Print the legal description of the residential property affected by this deed:
BENEFICIARY(IES) Print the FULL NAME(S) of the person(s) who will receive the property on your death (DO NOT use general terms
like “my children”) and state the RELATIONSHIP that each named person has to you (spouse, son, daughter, friend, etc.):
TRANSFER ON DEATH
I transfer all of my interest in the described property to the named beneficiary(ies) on my death. I may revoke this deed. When
recorded, this deed revokes any TOD deed that I made before signing this deed.
Sign and print your name below (your name should exactly match the name shown on your title documents)
NOTE: This deed only transfers MY ownership share of the property. The deed does NOT transfer the share of any co-owner of the
property. Any co-owner who wants to name a TOD beneficiary must execute and RECORD a SEPARATE deed.
___________________________________ __________________________
Date Signature of Grantor
_________
Typed or Printed Name of Grantor
STATE OF _________________________________
COUNTY OF _______________________________
On ___________________________________ before me, ,
(Date) (Name and title of the officer)
personally appeared , who proved to me on the basis of
(Name of person signing)
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 of officer
(Seal)
* There are various types of deed forms depending on each person’s legal status. Before you use this form
you many want to consult an attorney if you have questions concerning which document form is appropriate
for your transaction.
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.
Attach additional page(s) if needed
