Homestead_BaimID:
First Advantaae Tiile
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Under penalties of perjury, I hereby certify tha[ [his Sales Disdosure, to the best of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance wi[h 1 -1.1-5.5," ea Pro frty Sal Disclosure Act".
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THE SdLES DISCLOSURE FORA1 MAY BE USED TO APPLY FOR CERTAIN UEDURIONS FOR THIS PROPEHTY. IDH\TIiY ALL OF TNOSE THAT APPLY.
�/I ❑ 1. Will this property be the buyer's primary
y'C residepce? Provide complete address of F
!iry'StateZlPCade 1 tnunry
�� 2. Does [he buyer have a homes[ead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including county:
Address (Number ond Sveet)
Ciry, State ZIPCOde
e�
❑ 3.
rgy Heating/Cooling System
S. Wind Power Device
6. Hydroelectric Power Device
7. Geothermal Energy Hea[ing/Cooling Device
8. Is this property a residential rental property?
9. Would you like [o receive Wx statements for this
� property via e-mail? (Provide con[act injormation
6elow. Please see instruc[ions for more in/orma[ion.
Notavailablein all counties.)
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Under penalties of perjury, t hereby certify that this Sales Disclosure, to the bes[ of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Proper[y Sales Disclosure AcY'. (Note:
Spouse mfor ation, Social Security and Driver's License/Other number re not necessary if no Ho stead Deduction is
beingfil� � �� . � � � � � �n 1 �
ofBuyer]Driver's tate LastSDigicsofSocial5ecuriry�'um6er LastSdigiaofBuyer2/
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