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When
Recorded Return To:
(SPACE ABOVE FOR RECORDER'S USE)
DECLARATION AND CLAIM
OF HOMESTEAD
___________________________________________________________
Effective
Date:
County and State where Real Property is located:
___________________________________________________________
CLAIMANT
(Name, Address, Zip) SPOUSE
OF CLAIMANT (Name, address, Zip)
__________________________________________________________
HOMESTEAD REAL PROPERTY (Address or Location)
___________________________________________________________
HOMESTEAD
REAL PROPERTY (Legal Description)
____________________________________________________________
1. I am over the age of
18 and at the time of making this Declaration actually am a resident of the
State of Arizona.
2. I select and
designate this Real Property or Mobile Home to be my Homestead, together with
the
improvements thereon and the appurtenances thereto, as exempt from
attachment, execution or forced
sale up the amount of $150,000.00.
I have designated this as my one and only Homestead and its fair
market
value (minus liens and encumbrances) is $__________.
3. My Real Property
Homestead is in one compact body, upon which exists a dwelling house in which
I
reside. Should I have designated a Mobile Home, my Homestead is a
Mobile Home in which I reside or
a Mobile Home in which I reside and the land
upon which it is located. A.R.S
Section 33-1101 to 33-1105.
4. If I am married and
the property claimed is held as community or joint property, then my spouse
joins with me in making this claim.
[
] The value of my Real
Property Homestead (dwelling house and/or land), over and above
encumbrances
against it, does not exceed $150,000.00.
[
] The value of my
Mobile Home, over and above encumbrances, does not exceed $150,000.00.
[
] The value of my
Mobile Home plus the value of the land upon which it is located, over and
above
encumbrances against them do not exceed $150,000.00.
[
] The value of my
equity interest in one apartment of a horizontal property space does not
exceed
$150,000.00.
[
] The value of my Real
Property Homestead, Mobile Home, Mobile Home plus land, or apartment
over and
above encumbrances against the, exceeds $150,000.00, in which case I claim the
maximum
exemption allowable by law.
Dated this _____ day of _____________________, 200__.
______________________
______________________
Signature of Claimant
Signature of Claimant's Spouse
STATE OF
ARIZONA
)
)ss
County of
Maricopa
)
The
foregoing Homestead Declaration was acknowledged before me this _____ day of
_______________, 200__, by ________________________.
(Seal and
Expiration Date)
______________________________
Notary Public
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