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Under per 'es of p 1�9 e,,r e b!vr this Sales Disclosure, ' to the best of my knowledge and belief, is true, correct
ertif� ethat
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11 -i -n e Act".
r -rikIred in accordance 11 Ic 6 .1 ?�a Mp
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Stan Dam 04MIDDMTIA
�?C, .'OR PROPERT4YJAX DEDUCTIONS- IDEENTiFYALL ITEMS TF,-.T APPLY.
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THE SALES DISC! OSUKE FORMNLAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDEN71 IFY ALL OF THOSE THAT. PPLY.
YES A 140 CONDITION
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1. Will this property be the buyer's D, imary
e
:-�iosnestead�
7in:gg>bhng
address of prima,
esiden'ce? Provide complete afid�_
Hea System
4 1 �Energy l a r -a g
s i dXJn�l u d
❑ a- 5.WindPo-wer Device
- - dr electric Power Devi—
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nerma Ene-g: j [71 7. Geor' I ./Cooling Divice
Fj S. is.l.is property aresidemial rental prope-�Lv?
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2. Does the buyer have a homestead in Indiana to b-
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'you
vacated foi this residence? lives, provide
Would like to receive tax statements for this
complete address w residence being vacated,
DroDenny via e -mail? (Provide contact information
including county:
below. Please see instructions for more injorinadon.
-available in oil counties)
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Pr=y P. 0 very sum e: canine name
Under penalties of perjury, I hereby cer Ify that this Sales D; Sclosure, to the best of my knowledge and belie' is t: e, correct
and complete as Tequiredimllaw-, and is prepared in accordance Mth IC 6-1.1-3.5, "Real ProDerry Sales Disclosure Act". (Note:
S - IQ and Driver's License/Other numbers a.
Spouse imo. e not necessary if ao Homestead Deduction is
-nation, 12.,ecUl Lw f
bei tied;
Signature f Signature of2.ye :2 /:Douse
Losr5dici_,,fB,-ve.2lSpouseDive.'s S ;as, nDioiz of Social 5RC.-', 1-Y
Licer.se11D1v_-h-. Number Number L*icvnjei1D10:he, Plumber