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_________________________
Name
_________________________
Mailing Address
_________________________
City, State, Zip

Declaration of Homestead

__________________ and __________________ ,

the undersigned, hereafter referred to as claimant(s), reside on and do hereby claim the following described property to be their homestead, which is
exempt from attachment or forced sale pursuant to Title 70, Chapter 32; Montana Code Annotated.

The homestead property, claimed as exempt, is described as follows (legal description) (Note: A street address is not a legal description of the property nor is a deed
reference. The full metes and bounds description; subdivision with lot number or certificate of survey number must be included in the description):

________________________________________________________________________________________ ______

________________________________________________________________________________________ ______

________________________________________________________________________________________ ______

________________________________________________________________________________________ ______

together with the dwelling house, or mobile home and improvements and appurtenances thereon.

IN WITNESS WHEREOF, I/we have set my/our hand(s) this day of _____________ ,__________.

_________________________________ _________________________________
(Signature of Claimant) (Signature of Claimant)

State of Montana
County of

This instrument was signed before me on __________________

by _________________________________________________________________.
Print name of signer(s)

Notary Signature

[Montana notaries must complete the following, if not part of stamp.]

_________________________________________
Printed Name
Affix seal/stamp as close to
signature as possible. Notary Public for the State of Montana
Residing at _________________________________________

My Commission expires:___________ ,20_____