Homestead_StricklandIINUTANA JALCJ UIJLLUJUKL
D.PREPARER
Aouus (Number and Street)
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E -mail
Under penalties of perjury, l hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and plete as required by Jaw, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property S es Dis losure Act ".
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DEDUCTIONS- IDENTIFY ALL
Buyer 2 - Name as appears on conveyance document
Address (Number and Street)
City, State, and ZIP Code
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROP ENTIFY ALL OF THOSE THA PLY
YES Se CONDITION NO CONDITIO
U 1. Will this property be the buyer's primary
residence? Provide complete address of primary(
C me i luding county: / sz
g/jrg,}s L�laf Str t)
City State ZIP ZIP Code County
❑ (DI 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including c
Address (Number and streer)
City, State ZIP Cade County
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❑
3. Homestead
,❑
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4. Solar Enema ng /Cooling System
License /ID /Other Number
Signature of Buyer2 /Spouse
Printed Legal,Yame of Buyer 2 1Spouse
Sign Date (NH/DD/YYYY)
Number I Last 5 digits of Buyer 2 1Spouse Driver's State Last 5 Digits of5ocial Security
Number License /ID10ther Number