Declaration Of Homestead - Commonwealth Of Massachusetts

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DECLARATION OF HOMESTEAD
KNOW ALL MEN BY THESE PRESENTS THAT I, _____________________________________
(Name)
COUNTY OF WORCESTER AND
of _______________________________________________
(City or Town)
COMMONWEALTH OF MASSACHUSETTS as Householder, and having a family or sole owner and
being entitled to an Estate of Homestead in the land and buildings hereinafter described, do hereby
declare that I own, possess and occupy said premises as a residence and homestead under Massachusetts
General Laws, Chapter 188, as amended to wit:
Property Location: __________________________________________________________
(Street address, City and Zip Code)
Deed Reference: Book __________
Page __________
Witness my hand and seal this ___________________ day of __________________, 20_____
_________________________________________
COMMONWEALTH OF MASSACHUSETTS
Worcester, SS.
Date ____________________
On this day before me, the undersigned notary public, personally appeared _________________
________________________, proved to me through satisfactory evidence of identification, which were
___________________________, to be the person whose name is signed on the above document, and
acknowledged to me that he/she signed it voluntarily for its stated purpose.
________________________________________
Notary Public
My Commission Expires:

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