SPACE ABOVE THIS LINE FOR RECORDER’S USE
The undersigned declares that the documentary transfer tax is $_______________________________ and is
□ computed on full value of the interest or property conveyed, or is________________________________
□ computed on full value less the value of liens and encumbrances remaining thereon at
time of sale. The land tenements or realty is located in ________________________________________
□ unincorporated area: □ city of ___________________________________________________, and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
do (does) hereby remise, release and forever quitclaim to ________________________________________
the following described real property in the County of ____________________________________________,
State of California:
Date ______________________ ___________________________
STATE OF CALIFORNIA __________________________________
COUNTY OF __________________________________SS.
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/their/her authorized capacity (ies), and that by his/her/their signatures(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.