Designation of Homestead

(Exempting Property from Forced Sale)

Pursuant to Chapter 222.01, Florida Statutes, I, (We)
__________________________________________________________________
hereby declare that the following described real property and/or mobile home is my
(our) homestead which I (we) claim to be exempt from forced sale under any
process by law.

_____________________________
Signature
_____________________________
Print Name
Dated: __________________
______________________________
Signature
______________________________
Print Name
Sworn to an subscribed before me this _____ day of ________, 200_, by
______________________________________________.
o
o
o

Affiant(s) is (are) personally known to me; or

Affiant(s) provided Florida drivers license(s) as proof of identity; or
Affiant(s) provided _________________as proof of identity.
___________________________________
Notary Public
___________________________________
Typed or printed name of Notary Public
___________________________________
My Commission Expires