Title: Form: Affidavit Death of Joint Tenant
Author: Sacramento County Public Law Library
Last saved by: Kate Fitz
Company: Microsoft

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

____________________________________________

____________________________________________

____________________________________________

Recorder’s Use Only

AFFIDAVIT – DEATH OF JOINT TENANT

Assessor’s Parcel No. (APN): ________________________________

Declaration of Exemption From Gov’t Code § 27388.1 Fee
☐ Transfer is exempt from fee per GC § 27388.1(a)(2):
☐ recorded concurrently “in connection with” transfer subject to Documentary Transfer Tax    
☐ recorded concurrently “in connection with” a transfer of residential dwelling to an owner-occupier
☐ Transfer is exempt from fee per GC 27388.1(a)(1):
     ☐ Fee cap of $225.00 reached     ☐ 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, recorded on _______________ as Instrument No _______________  in Book/Reel _______________, Page/Image _______________, of the Official Records of _______________  County, California, covering the following described property situated in _______________  County, California:

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

Dated ____________________ 			____________________________________________
							(Signature of declarant)	

							____________________________________________
							(Type or print name of declarant)