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Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complete as required bylaw, and is prepared in accordance with IC 6-1.1-5.5, 'Real Property Sales Disclosure Act".
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TITESAL13 DISCLOSURE 10101,StAy BY UMTO APPLY MR CERTALN DEDUMOVS MR
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1. Will this propercy be the buyer's primary
3. Homes
residence? Provide complete address of primary
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Lj--X 4. Solar Energy Heating/Cooling System
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❑ 5q S. Wind Power Device
❑ CR 6.Hv Hydroelectric Power Device
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❑ [R 7. Geothermal Energy Heating /Cooling Device
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❑ CO 2. Does the buyer have a homestead in Indiana to be
8. Is this property a residential rental property?
vacated for this residence? Ifyes. provide
9. Would you like to receive W statements for this
complete address of residence being vacated,
property via e- mail ? (Provide contact information
including county:
Mo.. Please see instructions for more information.
Not available in all counties)
P,vuecrurourmuner.— E-17
Under penalties of perjury, I hereby certify 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 accordance with IC 6- 1.1 -5.S, 'Real Property Sales Disclosure Act". (Note;
Spouse information, Social Security and Drivers U cense/Oth er numbers are not n ecelsary a . f no Homestead Deduction is
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