Recording requested by (name):
When recorded mail to and
mail tax statements to:
Recorder’s Use Only
AFFIDAVIT-SURVIVING SPOUSE OR DOMESTIC PARTNER SUCCEEDING TO TITLE
____________________________________________
(Cal. Prob. § 13540)
APN: ____________________________
State of California
)
County of ________________________ ) ss.
____________________________________________, of legal age, being first duly sworn, deposes and says:
That ______________________________________, 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 ________________, executed by _______________________________________________
to ________________________________________________________________________________ as community
property with right of survivorship, recorded as Instrument No. ______________ in Book/Reel ___________, Page/Image
____________, of Official Records of _________________________ County, California, covering the following described
property situated in the City of _____________________, County of ___________________________, California (insert
legal description): __________________________________________________________________________________
_________________________________________________________________________________________________
________________________________________________________________________________________________.
That he/she was married to, or the registered domestic partner of the decedent at the time of his/her death.
That the above-described property has been at all times since acquisition considered the community property of
him/her and decedent.
More than forty (40) days have passed since the death of the above-named decedent, and no notice has been
recorded pursuant to section 13541 of the Probate Code.
That, with respect to the above-described property, there has not been nor will there be an election filed pursuant to
Probate Code Sections 13502 or 13503 in any probate proceedings in any court of competent jurisdiction.
That the above-described property has not passed to someone other than the affiant under the decedent’s will or by
intestate succession.
That the property has not been disposed of in trust under the decedent’s will.
That the decedent’s will does not limit the affiant to a qualified ownership.
That this Affidavit is made for the protection and benefit of the surviving spouse, his/her successors, assigns and
personal representatives and all other parties hereafter dealing with or who may acquire an interest in the above-
described property.
Date:
_________________________
__________________________________________
Signature
__________________________________________
Print Name
6/3/16