Such personal estate selected by the householder 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. However, if such personal estate is claimed exempt in a case filed under Title 11 of the United States Code, the official Schedule of Property Claimed as Exempt filed in the United States Bankruptcy Court claiming such exemptions shall be sufficient to set apart such property as exempt. 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.