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Fill and Sign the Abandonment of Homesteadby Person Authorized to Act on Behalf of Declared Homestead Owner Form

Fill and Sign the Abandonment of Homesteadby Person Authorized to Act on Behalf of Declared Homestead Owner Form

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Abandonment of Homestead by Person Authorized to Act on Behalf of Declared Homestead Owner 1.I, _______________ (name), abandon the homestead declared by _________________ (name of declared homestead owner) on ________________ (date), and recorded on _______________ (date), in (set forth recording information, such as: [Book _____ at Page ______ of the land records of (Name of County & State)]) ______________________ ____________________________________________________________________________, on those premises located at _____________________________________________________ ________________________ (street address, city, state, zip code), and more fully described as follows: (set forth legal description of premises) ________________________________ ____________________________________________________________________________.2.I have written authorization to act on behalf of ______________________ (name of declared homestead owner) by [explain source of the person's authority, such as: a power of attorney executed and acknowledged by (name of owner) on (date), which power of attorney is in full force and effect as of this date)] _________________________ ____________________________________________________________________________ ____________________________________________________________________________.Witness my signature on this the _______________ (date). _________________________________(Printed Name of Declaring Party)_________________________________ (Signature of Declaring Party) (Acknowledgment form may vary by state) STATE OF ______________ COUNTY OF _______________ Personally appeared before me, the undersigned authority in and for the said county and state, on this _____ day of ____________, 20_____, within my jurisdiction, the within named, ______________________ (Name of Declaring Party), who acknowledged that he/she executed the above and foregoing instrument. _____________________ NOTARY PUBLIC My Commission expires:______________________

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