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Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is [rue, torrec[
and compfe[e as required by law, and is �repared in accordan� cri[h IC 6-11-S.S, "Real Proper[y Sales Disclosure Act". _
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TNE SALFS DISQOSURE FORM MAY BE USED TO APPLY FOR CE(tTAI1 DEDUCTIOYS FOR THIS PROPERTY. IDE\TIF4' AL6 OF THOSE THAT APPLY.
❑ 1. VJill this property be the buyer's primary �
residence? Provide complete address of prima.ry
residence, induding co
2 1n/ �m�,r;SCh �
CI.y,Sm[eZIP e � � Coun.y
� � Does the buyer have a homestead in Indiana to be
vacated for this residence? !; yes, provide
complete address of residence being vacated,
including county:
ACEress (Num6er andS;ree[J
Ciry, Su� ZIP Code Cour..y
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4. Sotar Energy Heatln;/Cooling Sys[en
5. Wind Power Device
6. Hydroelecuic Power Device
7. Geo[hermal Energy Heatlng/Coolin; Device
8. Is this property a residential rental property?
9. Would you like io receive tax statements (or this
property via e-mail? (Provide conCoct informo7on
below. Please see rnscructionsjor more informanon.
A'at availab(e in a(1 counties)
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Under penalties of perjury, 1 herebp certiCy that this Sales Disclosure, to the best of my knowledge and 6elief, is [rue, correct
and complete as required by law, d is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (\o[e:
Spouse information, Social Secur' and Driver's License/Other numbers are not nnecessary1if no �Hyom�ezstead D�e7d(/y�tion i�s/
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