| DECLARATION OF HOMESTEAD |
DECLARATION
OF HOMESTEAD
KNOW ALL MEN BY THESE PRESENTS that We,
NAME , County of Middlesex and
Commonwealth of Massachusetts as Householder and being entitled to an Estate of
Homestead in the land and buildings hereinafter described do hereby declare that We own
and am possessed and occupy said premises as a residence and homestead under
Massachusetts General Laws, Chapter 188 as amended, to wit:
DESCRIPTION OF PROPERTY
Witness
our hands and seal this
day of
, 2001
The
Commonwealth of Massachusetts
Middlesex, ss.
,2001
Then personally appeared the above named
and acknowledged the foregoing instrument to be their free act and deed, before
me
Notary Public
My Commission Expires: