More than 28 days have passed since decedent's death. 3. No real property is included in the decedent's estate. 4.Read the instructions before completing the form. This form must be filed with the assessor for the city or township where the property is located. 1. Que mi nombre y demás circunstancias personales son las antes expresadas. That my name and personal circumstances are the above stated. 2. Complete and sign this form if (1) a tax return preparer filed a Form 1040 series tax return or altered your Form 1040 series tax return. Estimados Medi-Cal Access Program,. Completing and signing Form I-864 makes you the sponsor. Un documento firmado por una persona que jura que la información o declaración que contiene es la verdad.