Homestead Exemption Affidavit printable pdf download

STATE OF __________________

PARISH/COUNTY OF ________________

HOMESTEAD EXEMPTION AFFIDAVIT

BEFORE ME, the undersigned authority, Notary Public in and for the aforesaid Parish/County and State,

personally came and appeared,

Name: _____________________________________________________________________

Spouse Name: _______________________________________________________________

Address: ___________________________________________________________________

Phone Number: ______________________________________________________________

herein after “Appearer,” who, after being duly sworn, did depose and say:

HOMESTEAD EXEMPTION PROPERTY

Appearer owns and occupies the following described property, to-wit:

[INSERT LEGAL DESCRIPTION]

If the property described above is unimproved land, Appearer hereby provides the following land

data:

Copy of Survey Attached: Yes _____ No _____

Survey Recording Information: Instrument #_______________

Total Number of Acres: _______________

Dimensions: ________ x _________ x ________ x ________

Check the Appropriate Land Use: Cleared _____ Timber _____ Marsh _____ Misc. _____

II.

TRANSFER OR WAIVER OF HOMESTEAD EXEMPTION (If Applicable)

Appearer currently claims homestead exemption on the following described property:

Municipal Address: _____________________________________________________________

Lot/Tract Number: _______________ Subdivision Name: _________________________

Section: __________

Township: __________

Range: __________

Assessment Number: _______________

Parish: _______________

Initial the following choice:

Appearer hereby waives Appearer’s right to claim a homestead exemption to the

1. __________

property described in Section I above.

2. __________

Appearer hereby terminates the existing claim for homestead exemption and

transfers Appearer’s claim for homestead exemption to the property described in Section I above

and extended in accordance with the provisions of Louisiana Constitution Article 7 Section 20

and Louisiana law by the choices selected in Section III and/or Section IV below.

III.

STANDARD HOMESTEAD EXEMPTION

Appearer hereby claims homestead exemption on the property described in Section I above in

accordance with the provisions of Louisiana Constitution Article 7 Section 20 and Louisiana law, which

said homestead exemption is extended by initialing the following appropriate choice(s):

1. __________

Standard

2. __________

With Use Value

3. __________

Surviving Spouse

Homestead Exemption Affidavit

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