RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO NAME ADDRESS CITY STATE & ZIP APN NO. HOMESTEAD DECLARATION I, ___________________________________________________________________________________________ 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 California, 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 / the principal dwelling of my spouse, and (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. Dated___________________________________________ ________________________________________________________ STATE OF CALIFORNIA COUNTY OF ________________________________________} SS On ________________________________________________ before me, _________________________________________________________, (here insert name and title of the officer), personally appeared __________________________________________________________________ _________________________________________________________________________________________________________________________ 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__________________________________________________ . HMSTEAD.DOC Rev. 01/2008 American LegalNet, Inc. www.FormsWorkflow.com