Such personal estate selected by the householder and under §§ 34-4, 34-4.1, or § 34-13 shall be set apart in a writing signed by him. He shall, in the writing, designate and describe with reasonable certainty the personal estate so selected and set apart and each parcel or article, affixing to each his cash valuation thereof. Such writing shall be admitted to record, to be recorded as deeds are recorded in the county or city wherein such householder resides.

The following form, or one which is substantially similar, shall be used and shall be sufficient, when duly admitted to record in the county or city in which the householder resides, to exempt such described personal property from creditor process:

HOMESTEAD DEED FOR PERSONAL PROPERTY

Name of Householder ________________________________________________

Is the householder a disabled veteran entitled to claim the additional exemption under § 34-4.1?

____________________

Address of Householder ______________________________________________

Name(s) and age(s) of dependent(s) _________________________________

County/city in which householder resides ___________________________

Description of property claimed as exempt and its value ___________

________________________________________________________________________

Number of homestead deeds that have been filed by the Householder

________________________________________________________________________

Exemption amount previously claimed on prior homestead deeds

________________________________________________________________________

List the jurisdictions where previous homestead deeds were filed

________________________________________________________________________

________________________________________ (Signature of Householder)

________________________________________ [ACKNOWLEDGMENT]

Such writing or deed shall not be required to secure any exemption under this Code except those exemptions created by §§ 34-4, 34-4.1 and 34-13.

Code 1919, § 6540; 1990, c. 942; 1993, c. 150; 2010, c. 186.