Declaration Of Homestead - Commonwealth Of Massachusetts

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Declaration of Homestead
______CHECK HERE if you are ELDERLY (62 or older) or DISABLED and are filing
this under Massachusetts General Laws chapter 188, section 1A.
KNOW ALL MEN BY THESE PRESENTS that I, ______________________________
of _________________________ (city/town), County of _________________________
and Commonwealth of Massachusetts as a householder and having a family and being
entitled to an Estate of Homestead in the land and buildings hereinafter described do
hereby declare that I own and am possessed and occupy said premises as a residence and
Homestead under Massachusetts General Laws, chapter 188 as amended, to wit:
DESCRIPTION
Street Address: __________________________________________________
Title Reference: Book:__________
Page:__________
Other:__________
Witness my hand and seal this _____ day of ________________, 20___.
______________________________
(signature)
COMMONWEALTH OF MASSACHUSETTS
On this ____day of ______________20
, before me, personally appeared
________________________________, proved to me through satisfactory evidence of
identification, which were________________________________________, to be the
person whose named is signed on the preceding or attached documents, and
acknowledged to me that they signed it voluntarily for its stated purpose
______________________________
Notary Public(seal)
My commission expires:

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