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THESAIFSDISQOSUREFORMMAYBEUSFDTOMPLYFORORTAI.YOmUC170N5iORTF115PROPEIITY.IDFNff}YA FTHOS£Tl1ATAPPLY.
� ❑ 1. Will this property be the buyer's primary �
residence? Provide complete address of primary
residence, including county:
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Ciry,Aatr9PCade Counry
❑� 2. Does [he buyer have a homestead in Indiana to be
vaated for this residence? If yes, provide
complete address of residence being vanted,
including county:
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4. Solar Energy Headng/Cooling Sys[em
5. Wind Power Device
6. Hydroelectric Pawer Device
7. Geothermal Energy Heating/Cooling Device
S. Is this property a residential rental property?
9. Would you like to receive [ax statements for this
property via rmail? (Provide contactinfvrmatlon
be/ow. Please see instrucYions jor more informadon.
Not available in al! coundes)
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Under penaldes of perjury, 1 hereby certify that [his Sales Disdosure, to the best of my knowledge and belief, is trve, corred
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, 'Real Property Sales Disclosure Act'. (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being Hled.)
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