Know All Men by These Presents: That we..................

and..........................., husband and wife.......................

do......hereby abandon, release and discharge from any and all claim by us, as a Homestead, the lot of land and premises, situate, lying and being in the..................County of....................of..............., bounded and described as follows, to-wit:

(Description.) Together with the tenements and apurtenances thereunto belonging,

In Witness Whereof,...........ha..... hereunto set............

hand. ..and seal... this............day of..................one thousand nine hundred and...................

..............................(Seal)

..............................(Seal)

Signed, Sealed and Delivered in the Presence of

(Acknowledgment.)