Fillable Declaration Of Homestead Form printable pdf download

Declaration Of Homestead Form

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DECLARATION OF HOMESTEAD

FOR RECORDING STAMP

Assessor’s Parcel Number (APN):

Assessor’s Manufactured Home ID Number:

______________________________________________________

DO NOT WRITE

IN THIS AREA

Recording Requested by and Mail to:

Name: __________________________________________________

Address: ________________________________________________

City/State/Zip: ___________________________________________

Check One:

 Married (filing jointly)

 Married (filing individually)

 Widowed

 Single Person

 Multiple Single Persons

 Head of Family

 By Wife (filing for joint benefit of both)

 By Husband (filing for joint benefit of both)

 Other (describe): ________________________________________________________________

Check One:

 Regular Home Dwelling/Manufactured Home

 Condominium Unit  Other

Name on Title of Property:

_________________________________________________________________________________

do individually or severally certify and declare as follows:

_________________________________________________________________________________

is/are now residing on the land, premises (or manufactured home) located in the city/town of

_______________________, County of _______________________________, State of Nevada, and

more particularly described as follows: (set forth legal description and commonly known street address

or manufactured home description)

I/We claim the land and premises hereinabove described, together with the dwelling house thereon, and

its appurtenances, or the described manufactured home as a Homestead.

In witness, Whereof, I/we have hereunto set my hand/our hands this ______ day of ____________, 20____.

________________________________________

_______________________________________

Signature

________________________________________

_______________________________________

Print or type name here

STATE OF NEVADA, COUNTY OF ______________________ This instrument was acknowledged

before me on _____________

(date)

Notary Seal

By ______________________________________

Person(s) appearing before notary

By ______________________________________

Person(s) appearing before notary

________________________________________

Signature of notarial officer

CONSULT AN ATTORNEY IF YOU DOUBT THIS FORM FITS YOUR PURPOSE.

NOTE: Do not write in 1-inch margin. Rev.Feb 2010

Declaration Of Homestead Form

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