RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO: NAME STREET ADDRESS CITY, STATE & ZIP CODE SPACE ABOVE THIS LINE FOR RECORDER’S USE ONLY DECLARATION OF HOMESTEAD 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] my principal dwelling and the principal dwelling of my spouse [strike inapplicable clause] I am my spouse is currently residing on that declared homestead. (5) The facts stated in this Declaration are true as of my personal knowledge. ___________________________________ Date _______________________________________________ (Signature of Declarant) 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 homestead 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. American LegalNet, Inc. www.FormsWorkflow.com