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Undrr penalNes ofperjury, 1 hereby certify thatthis Sales Disclosure, to tLe bes[ of my Imowledge and belief, is ave, correct
and fomplete as re�qi�ired by law, an� is prepared in accordance witL IC 6-1.1-5.5.'Rwl Property Sales Dtsclosure Act'.
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lEES11E5 DISQASIIRF iORM MAY e[ USEU TO APPLT fOF QRTAIY DFDO[TIONS F00. in35 PR09EA7Y. I➢kNTIFY eli Oi THOSE TA�T <PPLY.
�� i. Will this property be the Euyei s primary
residente? Providecompleteaddressafprimary
rer nce includingcounty:
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� []��2C. Does the buyer have a homestead in Indiana to be
vanted for this residence? If yes, provide
rnmplete address of residenrx being vacated
� � . indudingcovnry:
, �aa.m (NUmea a,w sceer)
Ury.9uvAPCole Coonry
[] � 4.SolarEne}gyHeatlng/CoolingSystem
� �S.Wind?owerDevice
❑ � b. Hydrcelecbic Power Device
❑ [� 7.GeoihermalE�erpHeating/CoolingDevice
� [G� S.Istf�is prcfperiy a residential ren[al property?
� [✓� 9. VJould you like to receive tax statemenu foz this
property via rmail? (Pravide conmct informaGOn
below. P7easesee ins[ructlons(or more infarmotion.
Not avaifable in a11 cnunticc)
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Under penalties of perjary, ] hereby certify thatthis Sales Di.u]osure, to the Dest ofmy 3mowledge and belief, is true, mrrect
and mmplete az required by law, and is prepared in aarordance with IC 6-1.1•5.5, "Reai PropertySales Diselosure Act". (Note:
Spouse informatton, Social5ewrity and Drivec's license/OJher oumbers are nnt necessary if no Homestead Deduction Ss
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