Page 221

8. No person has a superior right to the interest of the decedent in the described property. California Probate § 13101(a)(9).

9. The declarant(s) request that the described property be paid, delivered or transferred to the declarants, California Probate §13101(a)(10).

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct, and that this declaration was executed on:

Date: , at California. (California Probate Code § 13101(a)(11).

(Type or print your name) (Signature of Heir 1)

(Type or print your name) (Signature of Heir 2)

NOTARY ACKNOWLEDGEMENT

STATE OF CALIFORNIA, COUNTY OF (specify): _________________________________

On (date): ______________________ before me (name and title): _______________________

---

Personally appeared name:

---

Who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he/she executed the same in his/her authorized capacity, and that by his/her signature on the instrument the person, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing is true and correct. (NOTARY SEAL) WITNESS my hand and official seal.

---

Signature of Notary Public

Not A Court Filed Form DECLARATION FOR TRANSFER OF SMALL ESTATES Page 2 of 2 PR-01 (Adopted 01/01/12, WITHOUT PROBATE (Probate Code § 13100 et seq.) Revised 01/01/24)