RECORDING REQUESTED BY
AND WHEN RECORDED MAIL DOCUMENT AND
TAX STATEMENT TO:
NAME
STREET
ADDRESS
CITY, STATE &
ZIP CODE
TITLE ORDER NO. ESCROW NO. SPACE ABOVE THIS LINE FOR RECORDER’S USE ONLY
REVOCABLE TRANSFER ON DEATH (TOD) DEED
(California Probate Code Section 5642)
ASSESSOR’S PARCEL NUMBER:
This document is exempt from documentary transfer tax under Revenue & Taxation Code 11930.
This
document is exempt from preliminary change of
ownership report under Revenue & Taxation Code 480.3.
IMPORTANT NOTICE: THIS DEED MUST BE RECORDED ON OR BEFORE 60 DAYS AFTER THE DATE IT IS NOTARIZED.
Use this deed to transfer the residential property described below directly to your named beneficiaries when you die. YOU SHOULD CAREFULLY
READ ALL OF THE INFORMATION ON THE OTHER PAGES OF THIS FORM. You may wish to consult an attorney before using this deed. It may
have results that you do not want. Provide only the information asked for in the form. DO NOT INSERT ANY OTHER INFORMATION OR
INSTRUCTIONS. This form MUST be RECORDED on or before 60 days after the date it is notarized or it will not be effective.
PROPERTY DESCRIPTION Print the legal description of the residential property affected by this deed:
BENEFICIARY(IES) Name the person(s) or entity(ies) who will receive the described property on your death. IF YOU ARE NAMING A PERSON, state
the person's FULL NAME (DO NOT use general terms like “my children”). You may also wish to state the RELATIONSHIP that the person has to you
(spouse, son, daughter, friend, etc.), but this is not required. IF YOU ARE NAMING A TRUST, state the full name of the trust, the name of the
trustee(s), and the date shown on the signature page of the trust. IF YOU ARE NAMING A PRIVATE OR PUBLIC ENTITY, state the name of the
entity as precisely as you can.
TRANSFER ON DEATH
I transfer all of my interest in the described property to the named beneficiary(ies) on my death. I may revoke this deed. When recorded, this deed
revokes any TOD deed that I made before signing this deed. Sign and print your name below (your name should exactly match the name shown on
your title documents) NOTE: This deed only transfers MY ownership share of the property. The deed does NOT transfer the share of any co-owner of
the property. Any co-owner who wants to name a TOD beneficiary must execute and RECORD a SEPARATE deed.
_________________________________________________
Signature of Grantor
Date
Typed or Printed Name of Grantor
STATE OF _________________________________
COUNTY OF _______________________________
On ___________________________________ before me, ,
(Date) (Name and title of the officer)
personally appeared , who proved to me on the basis of
(Name of person signing)
satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me
that they executed the same in their authorized capacity(ies), and that by 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 ________________________________________________
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, accura
cy, or validity of that document.
WITNESSES To be valid, this deed must be signed by two persons, both present at the same time, who witness your signing of the deed or your
acknowledgment that is your deed. The signatures of the witnesses do not need to be acknowledged by a notary public.
Signature Witness #1
Signature Witness #2
_________________________________________________
_________________________________________________
Printed Name Witness #1
Printed Name Witness #2
___________________________________
___________________________________
Rev 1/1/2022