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Under penalties of perjury, I 6ereby certify that this Sales Disdosure, to the best of my Imowledge and belief, is trve, corred
and complete as reau'ved by law, and is prepared in accordance with IC 6-1.1-5.5, °Real Property Sales Disclosure Ad".
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FOftM MAY BE USED TO APPLY FOR �RTAIN DeDUCi70N5 FOR THIS PROPIXTY. IUQlrt}Y ALL OF TNOSE THAT APPLY.
� ❑ 1. Will this property be the buyer's primary
residence? Provide complete address of primary
residence, including couuty:
�o �,U SPruce_.
Address(Nyy 6vand5beetJ �, )
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❑'� 2. Does the buyer have a homestead in Indiana to be
vaqted for this residence? If yes, provide
complete address of residence being vap[ed,
induding county:
Mdrm(Numbcand5treetJ
�' ❑ 3. Homes[ead
❑�j 4. Solar Energy Heating/Cooling System
❑� 5. Wind Power Device �o� a y� 9 g
❑ � 6. Hydroelechic Power Device
❑ �7. Geothermal Ener�V Heating/Cooling Devite
❑ 8. Is this property a residendal rental property?
❑_ 9. Would you like to receive tax statements for this
_/ property via e-mail? (Provide contact informatlon
J below. Please see instrucdons jor more informadon.
CG� Notavaila6le in alI counties)
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Under penaltles of perjury, l hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is W e, correct
and complete as required by law, and is prepared in accordance with IC bl.l-5.5,'Real Proper[y Sales Disdosure Ac['. (Note:
Spouse information, Social Security and Driver's Licease/Other numbers are nnt necessary if no Homestead Deduction is
bei filed.) � '
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