Homestead_StephensINDIANA SALES DISCLOSURE FORM SDF ID: �y Pa e 2
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DON DOWELL CLOSER
PreparerofNeSaluOisdmure Form Title
711 HWY 66 FIRST ADVANTAGE TITLE LLC
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NENBURGH IN 47630 8121390�485 THETEAM(a)FIRSTADVANTAGETITLE.0
liry, Smte, and LP Lode Tdephone Numbe� Email
�E�SELI:ER S GRANTOR S �_ ...�.2'r'_:. $ s .��:��.'� 'E�.'�;. °�,:,rR-r.'_�_ �R k�. �_x_',`,�:'.,!r:. :;. ` � F.= - •� >
SE�F 4-IOQ��NS -�C7`�CE �-IOP�ci�S
Saller ]- Name as appears an cmve}nnaedocument Seller 2- Name as apyevrs on conveyvnre do�ument
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Address (M1'umber and Sneet) Address (Number and Srreer)
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Under penaltles of perjury, I hereby certify that this Sales Disclosure, to the best of my Imowledge and belief, is [rue, corred
and cpmplete as req� y law, and is prepared in accordance �vi�th �IC 6-11-5. Re 1 P/�opertAy�Sales Disclosure Ac[".
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F.tBUYER S GRANTEE S=AP.P6ICATION FOR,P,ROPERTY�rTAX�DEDUCFIONS=�IDENTIFY'AG^G ITHb1S�THAT'APP.GY'- `z =' i"� ��;-;.:
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TNE 5.1LE5 �ISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAI.�' DEDUCfIONS FOR TNIS PROPER7Y. IUENTIFY ALL OF THOSE THAT APPLY.
YFS NO CONDITIOY YFS NO CONDITION
�❑ 1.1Ni11 Ihis property be the buyer's primary � ❑ 3. Homestead
residence? Provide complete address o(primary � � 4. Solar Energy Heating/Cooling Sys[em
residence, includingcounty: � � 5. Wind Power Device
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rm(h'umberandStreeQ ❑ � 6. Hydroelectric Power Device
�(LGENCiSCG I(\J �i7�o�-/5 %�6;�ON � � 7.GeothermalEnergyHeatlng/CoolingDevice
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❑ � 2. Does [he buyer have a homestead in Indiana [o be � � 8� �s this property a residen[ial ren[al property?
vaca[ed for [his residence? Ifyes, provide ❑ [� 9.1NOUld you Iike [o receive ta>c statemen[s for [his
complete address of residence being vacated, property via e-mail? (Provide contact in%rmotion
including county: below. Please see instructions for more informadon.
Not available in all coundes)
Addrut(NumberandStreeQ
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Primary pmperry owner mnmtl name