Affidavit Questionnaire

Affidavit Questionnaire

You are encouraged to check with the insurance company regarding change of ownership requirements.

Price: $250 for single, $300 to include two deceased parties holding title to the same property.
Date requested:

MonthDayYear
Date
Date needed:

MonthDayYear
Date
Address of property being transferred:
Name of person requesting:
Email:
Phone:
Send Invoice to (name and address):
Please provide a brief description of what you are doing:
Type of Affidavit requested:
Name of Affiant/party signing:
Address of Affiant/ party signing (if different than above):
Decedent"s Name (exactly as it appears on Certificate of Death):
Date of death:

MonthDayYear
Date
Name of Decedent"s trust, date of trust and name of trustee(s) (if applicable):
Affiant"s relationship to the deceased:
Assessor"s Parcel Number (APN):
Address Property Tax Statements should be sent to (if different than above):
Was this Decedent"s principle residence?
Was only a partial interest in the property transferred?
Please upload deed and or death certificate here.

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Should be Empty: