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TELEPHONE NO.:

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ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address)

FOR COURT USE ONLY

ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, SAN FRANCISCO COUNTY
COURT NAME: MAILING ADDRESS: CITY AND ZIP CODE:

SAN FRANCISCO SUPERIOR COURT 400 McAllister St. ­ Room 103 San Francisco, CA 94102-4512
DATE OF DEATH:

ESTATE OF (NAME):

DECEDENT

DECLARATION OF REAL PROPERTY
(Probate)

CASE NUMBER:

Please complete this form by checking the appropriate statement below and signing at the place indicated. YES, Decedent owned Real Property within the City and County of San Francisco. (Please fill in the following information)

Property Address / Assessor's Parcel Number

Decedent's Ownership Percentage

Beneficiaries / Relationship to Deceased / Percentage of Ownership
(Attach additional sheet if necessary)

NO, Decedent did not own Real Property within the City and County of San Francisco.

ATTORNEY OR PARTY SIGNATURE

CONTACT NUMBER

If you have any questions about completing this form, please call the Office of the Assessor at (415) 554-5596.

DECLARATION OF PROPERTY

San Francisco Superior Court Effective Date: July 1, 2003 SFA-001

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