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Under penalties of pery'ury, l hereby certify that this Sales Disdosure, to the best of my lmowledge and belief, is true, correct
and /co)mplete as req/u�ired by law, and is prepared in accordance with IC 6-1.1-5.5, °Real Property Sales Disclosure Act°.
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TNE SlIFS UISdOSURE iORM MAY BE USED TO MPLY FOR m2TAfN DEDUC170NS FOR 77II5 PROPFRTY. IDFNI7FY ALL OF THOSE THAT APPLY.
� ❑ L Will this property be the buyer's primary
residence? Provide complete address of �
� residence,indudingcounty:
[iry,AatrvPCade - [ovnry
❑ � Z. Does the buyer have a homestead in Indiana to be
vamted for this residence? Ifyes, provide
complete address of residence being vacated,
including county:
Add� (Numbc andSbaK)
CItr,5mte9PCode Counry
� ❑ 3. Homes[ead
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Heating/Cooling Sys[em
5. Wind Power Device
6. HydroelecRic Power Device
7. Geothermal Energy Heating/Cooling Devite
8. Is this property a residential rental propecty?
9. Would you like to receive tax statements for this
property via e-mail? (Provide contact informadon
below. Please see instrucdons far more information.
Notavailable in a11 coundes)
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Under penalties of perjury, I hereby certify that this Sales Disdosure, to the best of my knowledge and belief, is W e, correc[
and complete as required by law, and is prepared in accordance with IC &1.1-5.5, "Real Property Sales Disclosure Ac['. (Note:
Spouse information, Social Security and Driver's Licease/Other numhers are not necessary if no Homestead Deduction is
b�ing fil� .)
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