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of perjury reby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
required la , a s repared in accordance w��IC 6-1.1-5.5, "Re,al P�^pe �O�AC C isdosure Act"O �
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TNE SALFS DISCLONRE iORM MAY BE USED TO APPLY i0R CERTAIN OEDUCfIONS FOR
�� 1. Wi11 this property be [he buyer's primary C
residence? Provide complete address of primary
residence, including county:
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Gry,SmteL� e Counry
� � Does the 6uyer have a homes[ead in indiana [o be
vacated for this residence? If yes, provide
complete address oF residence being vacated,
including county:
AdEras(NUm6erandSVeet)
Counry
Gry. Smtt andTJPCode
THAT APPLY.
3. Homestead
�_solar Enerev Heati � oling System
� � 5. Wind Power Device
� �� . Hydroelectric Power Device
� �. Geothermal Energy Hea[ing/Cooling Device
�1s [his proper[y a residen[ial rencal propercy?
� �Would you like to receive wx statemencs for this
property via e-mail? (Provide contact informotion
below. Please see instructions%ar more information.
Not availa6le in all counties.J
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Under penaltles of pery'ury, t hereby certify Ihat this Sales Disclosure, to the best of my knowledge and belief, is true, cortea
and complete as required by law, and is prepared in accordance ���th IC 6-1.1-5.5. "Real Property Sales Disclosure Ac["• (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deducrion is
beinQ filed.) , _ /,� i
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