San Joaquin — Declaration of Affidavit

Source: https://www.sjcourts.org/sites/default/files/forms/2026-02/SJPR206-Declaration-in-Support-of-Affidavit-Re-Real-Property-of-Small-Value-fillable.pdf

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address): FOR COURT USE ONLY

TELEPHONE NO: FAX NO. (Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN JOAQUIN STREET ADDRESS: 315 W. ELM STREET MAILING ADDRESS: 315 W. ELM STREET CITY AND ZIP CODE: LODI, CA 95240 BRANCH OF NAME: LODI IN THE MATTER OF (Name): CASE NUMBER:

HEARING DATE: DECLARATION IN SUPPORT OF AFFIDAVIT
RE REAL PROPERTY OF SMALL VALUE DEPT: TIME:
Local Rule 4-304

I/We, declare (either (1) or (2) must be completed):

1. The Decedent died:
with a Will (testate). A copy of the Will is attached to the affidavit. The original Will has been separately lodged with
the court as required by Probate Code §8200.
without a Will (intestate). The decedent was survived by the following:

2. The Decedent was survived by: (Check all that apply)
Spouse No spouse Divorced or never married Spouse deceased
Registered domestic partner No registered domestic partner
Natural or adopted child
Descendant of a deceased child
Stepchild or foster child who would have been adopted by decedent but for a legal barrier

3. If the decedent left no descendants ( if no boxes in #2 above are marked), complete the first box that applies:
A parent or parents
A sibling by one or both parents
A descendant of a sibling
A grandparent or grandparents
A descendant of a grandparent
A parent or parents of a predeceased spouse
Other next of kin of the decedent (describe):
A parent or parents of a predeceased spouse
A sibling of a predeceased spouse
A descendant of a sibling of a predeceased spouse

DECLARATION IN SUPPORT OF AFFIDAVIT RE REAL PROPERTY OF SMALL VALUE

Mandatory Page 1 of 2 SJPR-206 (Rev 07/2023) Local Rule 4-304

IN THE MATTER OF: CASE NUMBER:

4. List the name and relationship of each person represented by a checked box above:

   Name Relationship

I/We declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct:

Date:

(PRINT NAME) (SIGNATURE)

Date:

(PRINT NAME) (SIGNATURE)

DECLARATION IN SUPPORT OF AFFIDAVIT RE REAL PROPERTY OF SMALL VALUE

Mandatory Page 2 of 2 SJPR-206 (Rev 07/2023) Local Rule 4-304