Homestead_Ticei�i):i'ul
Prepvrrr o/lhe5ale D'udnture Fonn Title
'ID7 Plaza Easi BNd. Suite 102 True Title Service LLC
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Seller2 - Name as appmrs om m�vryvnce dacumenc
Addrea (NUmbrr and Suee[)
Gty, Sm[S o�dZlPCade
Under penal 'es of p�rjury, I hereby certify that this Sales Disclosure, [o the best of my knowledge and belief, is true, correc[
and,comple as'�fe, red by law, and is prepared in accordance with IC 64.1-5.5, "Real Property Sales Disdosure Ad".
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5(qnumrco�Shc ' �7 SignamrzofSeller
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kE. � � � E S --;AP,P.L'`iCAT10N FQR?PROPER'F:YsTt1XbEDUETiDNS�DENTIFY-A1:L1iTEMS THAT�AP.PLY. = �'� _.:__�
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nce dxvmm[ 6uyrr2 - Name as appmn m comeyance aocumm[
200 N. Walters Street
Addrw (NUm6erand5neet) Addr� (NUmLerand Street)
Gry. Smtq and 9Pfnde
THE SALES DISCLOSUAE FOIA1 MAY BE I15E0 TO APPLY FOR CERTAIN DEDUCI70N5 FOR THIS PROPERTI'. IDENTIFY ALL OFTNOSE TNAT APPLY.
Q � i. Will this property be the buyer's primary ,
residence? Provide complete address of primary
residence, induding counry:
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ARdreu (Nvm6v and Stree[J
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� � Does the buyer have a homestead in Indiana to be
vacated for this residence? Ifyes, provide
complete address of residence being vacated,
including county:
Addr�s (NUmber and 5va[J
. o ergy Heating/Cooling System
� [� S. Wind Power Device
� �6. Hydroelectric Power Device
❑ [� 7. Geo[hermal Ener� Heatlng/Cooling Device
� �Is this properry a residential rental property?
. Would you like to receive ta�c satemencs for this
property via e-mail? (Provide contact information
below. Please see ins[ructlons for more informadon.
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Qry,SmhZlPlooe °°°••� �-��__._ EypCil�
Under penalties of perjury, l hereby certify tha[ this Sales Disclosure, to the best of my knowledge and belief, is trve, correcY
and complete as required by Iaw, and is prepared in acwrdance �t�th IC 6-1.1-5.5, °Real Proper[y Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not aecessary if no Homestead Deduction is
be}pg filed.��
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s Stnre LastSDigitsoj5ocia15ecuriryNum6er L¢tt5digitsofBuyer2/SpouseDrive''s State LartSDigimof5ocia15ecurity
Liceue/ID/OrherNumber Num6er License/(D/OrherNumber