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�IND(ANA SALES DISCLOSUREFORN SDFID _ _ _ Pae '•
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Under ' f perjury, I hereby rertify that this Sales Disclosure, to the best of m� Imowledge and belief, is �ve, correa -
and mplere required bp la�r, and is prepared in accordance with IC 6-1.1-SS, "Real Propert}• Sales Disclosure Ac[". �
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THE TO APPLY iOR CERTAI\ OiDllCf10N5 FOR THIS PROPiRTY. IOENTIFY ALL OF iHOSE THnT APFLY.
�j �] ?. 4Vill chis nrop_rry be the buye*'s prur:a.y
r_sidence? °rovide complere address o� primary
esid�nceiinc udin� tounty:
`1_03 Fas� l�'t��a Sfineti
qQOrm(NU.r.oervnd5veef)� �,.c,,�
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ary. Sm¢AP ounry
❑ �Does the buye; nav= a homest_zd in Indiana to be
vacaced for �is residence? [f y=s, provide
comolete address o: residence being va:at_d,
� including county: � / ,1 _
!"r
Adaress(Nanacane5ar.t)" / /i _ '
� rt�
Ciry, 5mu Z�PCae Cour..ry
❑ 3. Homestead � �'
I� Solar.=ner� Heatl ooiing Syscem
❑ � N'inc °owe; Device
❑ ��Hydroel_rn'icPowe; Devic=
� C/'./Geothermal Ener�� HeaSng/Coolin� Device
I_l ��� Is ihs prop_rry a residentla! rental prop=rry?
1 1 1�9.. Would you lilce to receive �: s[atements for this
prooer[y via e-mail? (.�rovid_= contoct injormation
betow. Pleasesee inscruc[ionsJormore infarmation..
No*available in a!1 coundes.)
Under penalties of pery'ury, I hereby certifi� ffiat this Sales Disdosure, to the best of my knowledge and belief, is true, correct
and complete as required bc law, and is prepared in accordance �vith IC 6-1.1•S.S,'Real Propem� Sales Disdosure Ac[". [K�ote:
Spouse information, Sotiai Sewriry and Driver's License/Other numbers are not necessary if no }fomestead Dedutaon is
being filed.)
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LascSdigiSg`BuyerlDnve�s Sm[= Las.SDigi•so(ScdalSecun!yA'umber Las[Sdigtrso/Buyer2/SpouseDnver's Smre LastiDigicq`SonalSecud.ry
Lirense/ID/O'v�erNumber Num6er Licerzse/fD/O:he: Number