Fillable SECURITY INTEREST AFFIDAVIT Affidavit: I attest to the (San Bernardino County Assessor-Recorder-Clerk)

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SECURITY INTEREST AFFIDAVIT Affidavit: I attest to the (San Bernardino County Assessor-Recorder-Clerk)

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SECURITY INTEREST AFFIDAVIT
TO BE COMPLETED BY THE PARTY REMOVED FROM TITLE:
Affidavit: I attest to the fact that during the period from to
referenced by deed number(s)
I had/had no equitable or beneficial interest in the real property located at
further described as Assessor’s Parcel Number
for the following reasons:
Declaration: I declare at , California, on 20
and under the laws of the State of California that the foregoing is true, correct and complete to the best of my
knowledge and belief.
Print Name:
Signature:
Signature:
Telephone:
) Ext.
Residence
)
TO BE COMPLETED BY THE PARTY RETAINING TITLE:
In support of this affidavit, the following documents must be attached:
1.
Proof of down payment, such as copies of cancelled checks, cashier checks, money orders or bank statements.
2.
Proof of monthly mortgage payments, such as copies of cancelled checks, cashier checks, money orders or bank
statements.
3. Schedule A – Federal Income Tax returns.
4. 1098 Mortgage Interest Statements.
5. Copies of documents cannot be returned – Please keep original documents for your records.
Declaration: I declare at , California, on 20
and under the laws of the State of California that the foregoing is true, correct and complete
to the best of my
knowledge and belief.
Signature:
Print Name:
Telephone:
) Ext.
Office
Residence
)
ARP 109 Front Rev. (09-20)
BOB DUTTON
ASSESSOR-RECORDER-COUNTY CLERK
COUNTY OF SAN BERNARDINO
ASSESSOR'S OFFICE
222 W Hospitality Lane
San Bernardino, CA 92415-0311
www.sbcountyarc.org
(909) 382-3265
Print Name:
Signature:
Print Name:
(
Office
(
(
(
DECLARACIÓN DE INTERÉS DE SEGURIDAD
SER COMPLETADO POR LAS PERSONAS QUE SE REMOVIERON DEL TÍTULO:
Declaración: Yo testigo en efecto que durante el tiempo de
hasta
referente al número de escritura
No reclamé ningún interes equitativo o beneficioso en la propiedad localizada en
Que se describe como número de parcela del Tasador
por las siguientes razones:
Declaración: Yo declaro en , California, en 20
bajo las leyes del estado de California, que lo antecedente es verdadero y correcto a lo major de mi
conocimiento y creencia.
Firma:
Imprima el nombre:
Firma:
Teléfono:
) Ext.
Residencia
)
SER COMPLETADO POR LAS PERSONAS RETENIENDO TÍTULO:
En apoyo de esta declaración, los siguientes documentos deben de ser entregados:
1.
Prueba del entre de la propiedad, como copias de cheques cancelados, cheques bancarios, giros postales, o
estados de cuenta bancarios.
2. Prueba de pagos mensuales de la hipoteca de la propiedad, como copias de cheques cancelados, cheques
bancarios,
giros postales, o estados de cuenta bancarios.
3.
La forma A de su Formulario de Impuestos Federales.
4. Formularios de Declaración de Intereses de Hipoteca 1098
5.
Copias de documentos no se regresan—Por favor de dejarse documentos originales para su archivo
personal.
Declaración: Yo declaro en , California, en 20
bajo las leyes del estado de California, que lo antecedente es verdadero y correcto a lo major de mi
conocimiento y creencia.
Imprima el nombre:
Teléfono:
) Ext.
Oficina
Residencia
)
ARP 109 Back Rev. (09-20)
Imprima el nombre:
Firma:
Firma:
Imprima el nombre:
(
(
Oficina
(
(
BOB DUTTON
TASADOR-GRABADOR-SECRETARIO DE CONDADO
CONDADO DE SAN BERNARDINO
OFICINA DEL TASADOR
222 W Hospitality Lane
San Bernardino, CA 92415-0311
www.sbcountyarc.org
(909) 382-3265
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SECURITY INTEREST AFFIDAVIT Affidavit: I attest to the (San Bernardino County Assessor-Recorder-Clerk)

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Completed 31 January 2021

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