Fill and Sign the Homestead Form 481371399

Joint Homestead Declaration by Husband and Wife We, ___________________ (Name of Husband) and _________________ (Name of Wife) , declare: 1. We are husband and wife. I, ___________________ (Name of Husband), am the head of a family, consisting of myself, my spouse _____________________ (Name of spouse), and ______ (number) children. 2. At the time of making this declaration, we actually reside with our family on the premises described below, and we claim and declare the premises, with the dwelling house on it, and its appurtenances, as a homestead for our joint benefit and for the benefit of our family. 3. The premises on which we so reside are located at _____________________________ ____________________________________________ (street address, city, state, zip code), and are described as follows: (set forth legal description) ____________________________ ____________________________________________________________________________ ____________________________________________________________________________. 4. We estimate the actual cash value of the premises to be $____________. ___________________________________ (Name & Signature of Husband) ___________________________________ (Name & Signature of Wife) Acknowledgments 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 Husband) and ______________________ (Name of Wife) , who acknowledged that they executed the above and foregoing instrument. _____________________ NOTARY PUBLIC My Commission expires:______________________