RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO: NAME STREET ADDRESS S R U PAGE SIZE DA MISC LONG RFD COPY M A L 465 426 PCOR NCOR SMF NCHG EXAM CTY UNI CITY, STATE & ZIP CODE T: SPACE ABOVE THIS LINE FOR RECORDER’S USE ONLY HOMESTEAD DECLARATION I,_______________________________________________________________________________________________________, (FULL NAME OF DECLARANT) do hereby certify and declare as follows: (1) I hereby claim as a declared homestead the premises located in the City of __________________________________ County of _______________________________________________________, State of ________________ commonly known as _________________________________________________________________________________________________________ (STREET ADDRESS) and more particularly described as follows: [Give complete legal description] (2) I am the declared homestead owner of the above declared homestead. (3) I own the following interest in the above declared homestead: (4) The above declared homestead is [strike inapplicable clause] [strike inapplicable clause] I am my spouse is my principal dwelling the principal dwelling of my spouse and currently residing on that declared homestead. (5) The facts stated in this Declaration are true as of my personal knowledge. Dated: __________________________, _________ _______________________________________________ (SIGNATURE OF DECLARANT) ___________________________________________ ______________________________________________________________ STATE OF CALIFORNIA } COUNTY OF _____________________________ } On ____________________ before me, __________________________________________________________, personally appeared (here insert name and title of the officer) _________________________________________________________________________________________, who proved to me on the basis of 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 (SEAL) ______________________________________ Before you use this form, fill in all blanks, and make whatever changes are appropriate and necessary to your particular transaction. Consult a lawyer if you doubt the form’s fitness for your purpose and use. American LegalNet, Inc. www.FormsWorkflow.com