Title: Homestead Declaration
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

HOMESTEAD DECLARATION
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

I, __________________________________________________, do hereby certify and declare as follows: 
1. I hereby claim as a declared homestead the premises located in the City of ____________________________________, State of California, commonly known as (street address): ________________________________________, and more particularly described as follows (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 my principal dwelling. I am currently residing on that declared homestead.

The facts as stated in this Homestead Declaration are known to be true as of my own personal knowledge.

Date: __________________			_____________________________________________
						(Signature of declarant)
						_____________________________________________
 						Print Name