P-13 MD
. RECORDING REQUESTED BY
CltJ' of Sata.......
p ~_ ,;~A'
AND WHEN RECORDED MAIL TO 4819
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Stete _........___.81Uonda -1
SPACE ABOVE THIS LINE FOR RECORDER'S USE
Affidavit-Death of Joint Tenant
TO 424 C THIS FORM FURNISHED BY TITL.E INSURANCE AND TRUST COMPANY
STATE OF CAHFO. RNIA, }
55,
COUNTY OF Loe .lap1..
1M .... , of legal age, being first duly sworn, deposes and says:
That Albeti ~ , the decedent mentioned in the attached certified copy of
Certificate of Death, is the same person as l1bert ~
named as one of the parties in that certain.... dated llII._h 8.. '9)0 ,
executed by 'I.. .It! BIlk_ ... Let. W.. ~
to AI~. ~~ aDd IlIa ba.1- ." '
as joint tenants, recorded as Instrument No,~ , on arch lB. 19)0, in
book 982S ,page l!)! , of Official Records of t.as ~a .~
County, California, covering the following described .property situated in theC:ltJ' .14 ~ """'i.-
, County of Loe~l.. , State of California:
tot. 3$ U 11_ 16 of ~r S7ad1-w SIlata.JIclal.ea 'l'l"Rt...
1n tbe Cit.1' of saa\a ~a.C9UQtJ' of Leal ....*.: Skte or
Ca11.t<rn:ia.. .a per .ap 1'e(Q'de4 1n Book 6. Jl&pe 26 aDd. 21 ot
.pI. 1n the 0.t't1ce .of tblt ~ ~ ot. 811i4 -v.
.
That the value of all real and personal property owned by said decedent at date of death, including the full value of
the property above described, did not then exceed the sum of $ 11,_.00 ,
Dated hee1Iber )O~ 1.963 / s/ / IVtT KE/VY (J /1/
SUBSCRIBED AND SWORN TO before me
30th ~. 1963
thj< day of
SignatoT' /5 J l1L PIC (;-0 /$t.:'7C t;s'-r
/
Name (Typed or Printed)
(This area for official notarial seal)
Title Order No. Escrow or Loan No.
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