SUAM Appendix G
CERTIFICATE OF ACCEPTANCE
OF INTEREST IN REAL PROPERTY
THIS IS TO CERTIFY that the interest in real property conveyed by (insert appropriate
document form: Partial Quitclaim, Quitclaim, Grant Deed, Gift Deed, Easement) (insert unique
document number if available), dated ___________ from __________________ to the Trustees
of The California State University, is hereby accepted by the undersigned officer on behalf of the
Trustees of The California State University pursuant to authority conferred by Education Code
Section (insert appropriate authority: 89048 for easements, acquisition with parking/housing
fund, 89720 for acquisition by gift, 89036 for acquisition from federal government, 90406 for
acquisition with proceeds of the sale of Cal Poly real property) of the California Education
Code, Standing Orders of the Board of Trustees of The California State University, and authority
delegated by the Chancellor to the undersigned.
ACCEPTED BY AND ON BEHALF OF THE BOARD OF TRUSTEES
OF THE CALIFORNIA STATE UNIVERSITY
By:
Dated:
Insert Name
Insert Title
Insert Campus
State of California
)
County of Los Angeles
)
On
, before me,
,
Notary Public, personally appeared Insert Name, personally known to me to be the person whose name is
subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity,
and that by his signature on the instrument the person, or the entity upon behalf of which the person 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 of Notary)
(Seal)
Updated: 8/2011