Recording requested by:
And when recorded mail to:
APN: _____________________ For recorders use
HOMES TEAD DECLARATION
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:
________________________________________ (st reet ad dr es s) , and more
parti c ular l y desc r ibed as follows:
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