Print Form Clear Form PR-E-LP-037 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address) TELEPHONE NO. FOR COURT USE ONLY ATTORNEY FOR (Name) SUPERIOR COURT OF CALIFORNIA, COUNTY OF SACRAMENTO 3341 Power Inn Road MAILING ADDRESS: 3341 Power Inn Road CITY AND ZIP CODE: Sacramento, CA 95826 STREET ADDRESS: BRANCH NAME: ESTATE OF William R. Ridgeway Family Relations Courthouse DECEDENT CASE NUMBER: PROPERTY TAX CERTIFICATION (Probate Code, § 8800(d) NOTE: File this form with the inventory and appraisal. 1. I am the personal representative of the Estate of (name of decedent): 2. I certify that the requirements of section 480 of the Revenue and Taxation Code a. are not applicable because the decedent owned no real property in California at the time of death. have been satisfied by the filing of a change of ownership statement with the county recorder or assessor of each county in California in which the decedent owned property at the time of death. b. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: (TYPE OR PRINT NAME) (SIGNATURE OF PERSONAL REPRESENTATIVE) PROPERTY TAX CERTIFICATION (Probate) PR-E-LP-037 revised 1-26-2009 American LegalNet, Inc. www.FormsWorkFlow.com