Recording requested by (name):
_____________________________
When recorded mail to
and mail tax statements to _____________________________
_____________________________
_____________________________
_____________________________

AFFIDAVIT – DEATH OF JOINT TENANT
Assessor’s Parcel No. (APN): 
_____________________________	Declaration of Exemption From GC § 27388.1 Fee
 Transfer is exempt from fee per GC § 27388.1(a)(2):
     Transfer is subject to Documentary Transfer Tax    
     Transfer of residential dwelling to owner-occupier
 Transfer is exempt from fee per GC 27388.1(a)(1):
     $225.00 fee cap      Not related to real property	
_____________________________, of legal age, being first duly sworn, deposes and says: 
_____________________________,  the decedent mentioned in the attached certified copy of Certificate of Death, is the same person as _____________________________, named as one of the parties in that certain deed dated __________ and executed by ___________________________________________________________________ to ___________________________________________________________________ as Joint Tenants, and recorded on __________ as Instrument No. ____________________, in Book/Reel __________. Page/Image __________, of the Official Records of _____________________________ County, California 
and which covers the following described property in  _____________________________ County, California:
__________________________________________________________________________ 
__________________________________________________________________________ 
__________________________________________________________________________ 

Date: ____________________	_______________________________________
	(Signature of declarant)

	_______________________________________
	Type or print name