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�02 summit blvd ste 600
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au.aa 30319
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lnder p alties erj , I ereby cer[ify that this Sales Disclosure, to the best of my knowledge and belief, is true, wrrec[
md com I te a� u ed by� aw, and is prepared in accordance with IC 6-11-5.5, "Real Property Sales Distlosure Act".
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Robert
RUYERI SlA6R�ii`1TEEfSI - APPLICATION FOR
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N E SALES DItiCLOSURE FURAi Mdl' BE USED TO dPPLY fOR CERTAI�' DEDUCTIONS FOR THIS PROPERTY. I DENTIi1' ALL OF THOSE THAT APPLY.
Q✓ ❑ 1. �Vill this property he the huyer's primary
residence? Provide mmplete address of piimary
, `' "'^ residence, indudingcounn�:
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❑ � 2. Does the buyer have a homestead in Indiana to be
� vacateJ fur this residence? Ifyes, provide
cumplrte address of residence being vacated,
ineluding eounry:
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3. Homestead
4. Solar Energy Heating/Cooling Sys[em
5. Wind Power Device
6. Hydroelectric Power Device
7. Geochermal Energy Heating/Cooling Device
8. Is this property a residenaal ren[al proper(y?
9. 6Vould you like m receive �ax statements for this
property via e-mail? (Provide contocc in(ormation
befow. Please see instructions/or more in%armation.
Not ovailable in all counties.J
name
E-mail
"nder penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is [rue, correct
nd complete as required by law, and is prepared in acwrdance with IC 6Q1-5.5, "Real Property Sales Distlosure Act". (No[e:
pouse informa[ion, Social Securi[y and Driver's License/0[her numbers are not necessary if no Homestead Deduc[ion is
eing�led.) n ,� �
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