Santa Clara — Sample

Source: https://santaclara.courts.ca.gov/system/files/sample_affidavit_of_death_of_joint_tenant_0.pdf

1 AFFIDAVIT OF DEATH OF JOINT TENANT ) STATE OF CALIFORNIA ) ss. 2 COUNTY OF SANTA CLARA ) 3

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5 I, [Affiant’s name here], being duly sworn, say:

6 I am 18 years of age or over. The decedent, described in the attached certified copy of

7 Certificate of Death is the same person [name of person who died here], who is named as one of

8 the parties in the deed dated [date], executed by [name of grantor] to [name of decedent] and

9 [name of surviving joint tenant], as joint tenants, recorded on [date], in [e.g., Book __, page __]

10 of the Official Records of Santa Clara County, California, covering the property situated in

11 [city], Santa Clara County, California, described as follows:

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13 [Write a legal description here]

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15 Dated: ____________ _____ [Signature]_________________

16 [Typed Name]______________17 Affiant 18

19 Subscribed and sworn to before me [date]

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21 [Signature]______________

22 23 [Typed name]____________

24 [Seal] Notary Public for the 25 State of California

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