Fill and Sign the Full Text of Ampquotcalendar of Virginia State Papers and Other Form

HOMESTEAD D EED KN OW ALL MEN BY THESE PRESENTS, that we/I, XXX and YYY, householder(s) re siding in the City/County of Chesterfield, Vi rginia, do/does certify that We/I have not heretofore at any time decla red our /my intention to claim the benefit of the homestead exempti on to which We/I are entitled under the Constitution of Vir ginia and the Laws of Virginia for such cases made and provided or selected or set apart as and for the said Homestead Exemptio n, and declare our /my intention to claim the following property and personal estate to be held by us/me as ex empted, as provid ed by law. Our cash evaluation of this personal es tate is affixed to the articles which are designated and described a s f ollow s:Na me o f H o useholder (s): 1 . X XX a nd Y YY .Ad dress of Househ older(s): (marital home; residence of wi fe); ( husba nd’s r esidence).Co unty/city in which property claimed as exempt is located: County of .D e scription o f p rope rty c laimed a s e xempt a nd t he a mount i s:Ho me a nd l and l ocat ed a t { LLL} A mount = $ T OTAL E XEMPTION C LAIMED: $ _ _ _________________ ___________ X X X __ _________________ ___________YY YST ATE O F V IRGINIAC I TY/COUNTY O F _ ____ _____________, t o -wit: The foregoing Homestead Deed was acknowledged this _____ day of _ __ _____________ ___, 2 004, b y X XX a nd Y YY.__ _________________ _____ N otary P ubl icMy C om mission e xpir es: