Free HOMESTEAD FORMS5-20 - Massachusetts


File Size: 11.5 kB
Pages: 1
File Format: PDF
State: Massachusetts
Category: Court Forms - State
Author: Administrator
Word Count: 159 Words, 1,695 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.norfolkdeeds.org/nrod/File/Homestead_Form_2005.pdf

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DECLARATION OF HOMESTEAD
_____________________________________________________________________________ (name) owning and occupying as my principal residence the real estate at _____________________________________________________________________________ (street address) in ______________________________, Norfolk County, Massachusetts, owned by me by (community) Deed Recorded in BOOK___________PAGE________of the NORFOLK REGISTRY OF DEEDS Certificate of Title #_______________in NORFOLK REGISTRY DISTRICT OF THE LAND COURT Inheritance from__________________________________________ _______________________Probate Court #___________________ hereby declare a homestead in said premises under the provisions of Chapter 188, Section 1, of the General Laws of Massachusetts. Executed as sealed instrument this ______________day of________________, ________ ________________________________________ Signature =================================================================== Commonwealth of Massachusetts ________________________ss On this ____ day of ___________, 20___, before me, the undersigned notary public, personally appeared _____________________________ (name of document signer), proved
RETURN TO:

to

me

through

satisfactory

evidence

of

identification,

which

were

_____________________, to be the person whose name is signed to the foregoing, and acknowledged to me that he or she signed it voluntarily for its stated purpose.

______________________________________ Notary Public My Commission Expires: ===================================================================
Norfolk County Registry of Deeds, 649 High St., Dedham, MA 02026-1831 ~ William P. O'Donnell, Register