Homestead_Bruce (5)INDIANA SALES DISCLOSURE FORbt SDF ID: _
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Premrero'� SalaDisdosureForm
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City. 5[ate, and ZIPCOCe
E. SELLER(S)/GRr1NTOR(S): : ... : ... , ':;:.�'.. `..' '•;
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1 - Name as
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Under penalties of perjury, I hereby certify that this Sales Disclosure, to the bes[ of my knowledge and belief, is true, correct
�c mple as required by law, and is prepared in accordance wit IC 64.1-5.5, " eal Property Sales Disdosure Act".
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TION�F�QRPROPERTY TAX-DEDUCTIONS— 1
Addras (Number and 5[reet) �.
THE 5ALE5 DISCLOSURE FORN NA}' gE USHD TO dPPLY FOR CERTAI\ DEDUCI'IONS FOR
.�J ❑ 1. lNill this property be the b�yer's primary
residence? Provide complete address of pri� ry
�,a� � esi ence, insluding county:
iECress(A'umberond treerl - � ^��� � /
i��S.�e �,��lw J.l\ ��Ci U�' \��l
Ciry,SmteZlPCOde r Counry
� i�l 2. Does the buyer have a homes[ead in Indiana to be
vacated for this residence? Ifyes, provide
complete address of residence being vaca[ed,
including county:
dddress (Nmnbe� and Sheet) �
Ciry, Sm¢ ZIPCaCe Counry
Buyer? - Name as appears m mnveyunre dooument
Addrn's (A'umber and 5[ree[)
Ciry, Smte, and ZIPCode
I OEYTIFY ALL O�TtW�E THdT APPLI".
�I ❑ 3. Homestead � ol�rJ� 7�
❑ I� 4. Solar Energy He � g/Cooling Sys[em
' ower Device
a� 6. Hydroelectric Po�ver Device
❑ � 7. Geothermal Energy Hea[ine/Cooling Device
❑ � 8/ Is this property a residential rental prope�ty?
❑ I,� //`Q�Would you like [o receive [ax statements for this
d„U property via e-mail? (Provide contact informotion
�� 6elow.Pleaseseeins�rucCions�ormorein�ormation.
�� Not available in all counties.)
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Under penalties o( perjury, 1 hereby certify [hat this Sales Disclosure, to [he bes[ of my knowledge and belie(, is true, correc[
and complete as required by law, and is prepared in accordance wi[h IC 64.1-5.5, "Real Proper[y Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
bei��g filed.)
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Sign Da[e �wM/o�/rvYl')
Sgnamreo(Buyer2/Spouse
PnntedLegalNameo(Buyrer2/Spouse S�gnDare(xH/OD/YYYY�
Las[>digiuo(Buver7Driver's Smte LastSDigicsoj5ocialSecunryNum6er I LastSdigiGSOjBuyer2/SpouseDriver's Swte Last50igiaa/SocialSecunty
License/ID/OtherM1'um6er Num6er License/lD/OtheM'umbe�