Homestead_Reed (13)SDFID:
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Campnny
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Addim (Numbco�5beet)
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Under penalties of perjury, I hereby certify that this Sales Disdosure, to We best of my Imowiedge aad belief, is true, correct
and�ompletg �s{equ'ved by law, and is prepared in acwrdance wiYk�jC 6-1.1-5.5, °Real Pryperty Sales Disclosure Act°.
DfSdOSURE iORM MAY BE USFD TO MPLY FOR �RTAIN DmUCl70NS FOR
� ❑ L Will this property be the buyer's primary �
residence?.Provide complete address of primary
residence, induding county:
5�03 N. r�;/55oti
dr�(hLmbaaffiSbce1J
CtncC'fDrJ 1rJ. 'i�a�J (n��jSo..�
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❑ � 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including county:
Addres (Numba and StrctJ
C/ry,Smte9PCode Counry
S
Ad (Nvmberand5beet)
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Ciry, Smm, and7JPCade
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■
■
■
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THAT APPLY.
3: Homestea
ar nergy HeaUng/Cooling System �7
5. Wind Power Device '�' p09 `� 3� /
6. Hydroelech-ic Power Device
� 7. Geothermal Energy Heating/Cooling Device
� 8. Is this property a residendal rental property?
� 9. Would you like to receive tax statemen or '
property via e-mail? (Provide conta n rmad
6e/ow. Please see instrucdons for more i on.
Not available in all countles)
-loi-O-7-Z03-Cr� o� 1 /.,-n� C/
Under penalties of pery'ury, I hereby certlfy that this Sales Disdosure, to the best of my knowledge and belief, is true, corred
and complete as required by law, and is prepared in accordance with IC 61.1-5.5, "Rea] Proper[y Sales Disclosure AR'. (Note:
Spouse information, Social Security and Driver's Licease/Other numbers are not necessary if no Homestead Deduction is
being filed.)
�oa� �.�-�t" � ��r„��D�,rn ��
�nao�reo/Buycl Sjg aiea/ 2/Sporae
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PAnIPdLtBa(Nameo(Buyc1 S�
Littnse/ID/OrherNum6er Number License/!D/OtherNum6er