RECORDING REQUESTED BY

USA National Title Company, Inc.

AND WHEN RECORDED MAIL TO

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ADDRESS	< - pause>

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TITLE ORDER NO. 071530269-30	ESCROW NO. SC-11188-LG	APN NO. 4157-016-005

AFFIDAVIT OF DEATH OF SPOUSE

(COMMUNITY PROPERTY WITH RIGHT OF SURVIVORSHIP)

State of California

County of Los Angeles	} 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	dated	, executed by	to	, as Community Property with Right of Survivorship, recorded as Instrument No.	in Book ______________, Page ___________, of Official Records of	County, California, covering the following described property situated in the said County, State of California:

See Exhibit “A” attached hereto and made a part hereof.

That the value of all real and personal property owned by said decedent at date of death, including the full value of the property above described, did not then exceed the sum of $< - pause>

A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

State of California

County of __________________

Subscribed and sworn to (or affirmed) before me on this ____________ day of ________________, 20____,

by________________________________________________

______________________________________, proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.

Signature

EXHIBIT “A”

<LEGAL>

Granite Software

2010-04-26

gmcclain

Granite Software