Homestead Declaration

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									A homestead declaration is a written statement, made under the penalty of perjury that
claims a particular ?dwelling? (for example, a house, condominium, boat, or similar
property) as the owner's principal place of residence. For simplicity, this guide uses the
word ?home? to describe any principal dwelling. When a homestead declaration is (1)
signed by a homeowner, (2) acknowledged (i.e., ?notarized?) by a notary, and (3)
?recorded,? it helps protect the home against loss to creditors. By law, a portion of the
value of a home can be protected from legal actions including bankruptcy, collections
and property taxes. Use this form when wanting to protect a home (or part of) from
creditors (most of them).
Recording Requested By:


When recorded mail document to:
NAME
ADDRESS
CITY
STATE & ZIP

                                                                     Above Space for Recorder’s Use Only

                                        HOMESTEAD DECLARATION

I,   ____________________________________________________________              [Instruction:
Insert name of person making declaration.] the undersigned, do hereby certify and declare as
follows:

1. I hereby claim as declared homestead the property located at ________________________
[Instruction: Insert property address.] and more particularly described as follows
________________________________________________________ [Instruction: Insert legal
description of property.] together with the dwelling house, or mobile home [Comment:
Declarant should review applicable state statute, as mobile homes may be considered
personal property and may have alternative or additional protections.] and improvements
and appurtenances thereon.

2. I am the owner of the above described homestead and I/my spouse [Instruction: Choose
applicable resident, delete inapplicable.] do/does [Instruction: Conform language to
properly describe applicable resident.] reside on the homestead as my principal dwelling, and
do hereby claim it to be my homestead, which is exempt from attachment or forced sale.
[Comment: Declarant should review applicable state statutes regarding this paragraph, as
certain states may require further information, including whether or not the declarant
lived on the property as his/her principal dwelling as of the date of any judgment. Also,
declarant should review applicable state statute concerning whether or not the state
requires continued residence on the property even after the date of any such judgment.]

The facts stated in this declaration are true as of my own personal knowledge.

Dated _________________________ ____________________________________ [Instruction:
Insert date.]


STATE OF _____________________ }
COUNTY OF ___________________ } SS

On this _______________ day of _____________________, 20______ before me,
_____________________________ a    Notary    Public,  personally  appeared

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___________________________ known to me or proved to me on the basis of satisfactory
evidence to be the person whose name is subscribed to the within instrument and acknowledged
to me that he/she has executed the same in his/her authorized capacity.

I certify under PENALTY OF PERJURY under the laws of the State of _________________
that the foregoing paragraph is true and correct.

WITNESS my hand and official seal.

NOTARY SIGNATURE_______________________

(NOTARIAL SEAL)

My                      commission                           expires:     ______________________




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