RECORDING REQUESTED BY

USA National Title Company, Inc.

AND WHEN RECORDED MAIL TO

HOMESTEAD DECLARATION

I,	, hereby certify and declare:

a) I hereby claim as a declared homestead the premises described as follows:

(b) I am the declared homestead owner of the above-declared homestead.

(c) I own the following interest in the above-declared homestead:	.

(d) The above-declared homestead is	(my principal dwelling or the principal dwelling of my spouse), and	is currently residing in that declared homestead.

(e) My further act of causing this declaration to be recorded shall constitute a representation that	reside(s) in the above-declared homestead on the date this declaration is recorded.

(f) The facts stated in this Declaration are true as of my personal knowledge.

Dated:

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 Los Angeles

On ______________________ before me, _____________________________, a notary public, personally appeared

,

who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

WITNESS my hand and official seal.

Signature	Seal

RECORDING REQUESTED BY

gmcclain

2015-03-02

Granite Software