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Seller Z- Name as appevrs an rom�e}anre darument
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Under penalties of perjury, i hereby certi(y that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in acwrdance wi[h IC 6-1.1-5.5, "Real Proper[y Sales Disdosure Act".
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F. BUYkRfSI/GRANTEEf51-APPLICATION F6R PROPERTY TAX
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THE SALFS DISCLOSIIRE FORM MAY BE IISEO TO APPLY FOR CERTAIY UEDUC�IONS FOR
�❑ 1. Will this property be the buyer's primary �
residence? Provide complete address of primary
/�O�r�sidenc�includingc �/:�
V� �`Y
A iumb_ _� e�r a/n/d o-eecJ I^ 1�� �� Q ��S ��
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Ciry.Sm�eZfPCode Counry
�� 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
I�C includ�ngcount_y� �
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Cade Counry
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ALL
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APPLY.
Q ❑ 3. Homestead
. Solar Energy Hea[ing/Cooling System
� Q 5. Wind Power Device
❑ Q 6. Hydroelechic Power Device
❑ !Q 7. Geothermal Energy Hea[ing/Cooling Device
� [� 8. Is this property a residentlal rental property?
❑ LJ 9• Wouid you like to receive taac statements for this
property via e-mail? (Provide contact informa[ion
availa6le in all counties)
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Under penalties of perjury, t hereby certify tha[ this Sales Disclosure, [o [he best of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (No[e:
Spouse informa[ion, Social Security and Driver's License/Other nu�nbers�ce�ot necessar� if no Nomestead Deducdon is
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