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FORM SDF1D:
409 Main St. TOTAL TITLE SERVICES. LLC �
,Iddrcv (Numterand So-eerJ Con. ; any
�ncennes.iN 47597
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Cly. Slate, and Z/FCOde
Under penalties of perjury, l hereby certify tliat this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and comple[e s requlred by law, and Is prepared In aceordance wtth IC 6-1.1-5.5, °Real Property Sales Dlsclosure AM".
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TN6 SAL65 DIS[LONRE FORN MAYBE USED TO APPLY FOR CE0.TAIY 060UCTIOYS FOR TNIS
� � 1. Will this proper[y 6e Uie huyer's primary �
residence? Provide complete address oFpri
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� 2. Does the buyerhave a homestead in Indiana to be
vacated (or this residence? If yes, provide
complete address of residence beingvacated,
��D inUludingmyLry:
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iENTIFY d6L OF THOSfi THAT APPLY.
COYDITIO.`1
3. Homestea
. ar Energy Heatlng/Cooling System
S. Wind Power Device
U � 6. Hydraelectric Power Device
❑ [�i 7. Geothermal Energy Heatlng/Cooling Device
❑ LJ 8. Is [his property a residential rental property?
❑ ["�9. Would you like to receive Wx statementr for this
property via e-mail? (Provide contactinformntion
be(aw. Plense see instructions%r more information.
Not avni(abfe in a71 cnunGies.)
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Pri�r.arv cmeerN owno conmc[noms &mail
Under penalUes of perJury, 1 hereby certify tha[ this Sales Dlsclosure, to [he bes[ of my knowledge and belief, is true, correct
and complete as reqnired by law, and is prepared in accordance with IC 64.1-5.::, °Real Property Sales Disclosure Act". (Note:
Spouse in(ormation, Sacial Security and Drlver's License/Other numbers are no[ neces lf no Hom ead Deduction is
beln led.) �. �
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