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Under penalties of perjury, I hereby certify that this Sales Disciosure, to the best of my lmowledge and belief, is hve, correct
and comple/te as required by la�v, a/nd is prepared in accordance �vith IC 6-L1-5.5, "Real Property Sales Disclosure AcY'.
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YER ,GRANTEE � —APPLICATION:FORtPROPERTY.TA7C�
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[]' ❑ 3.Homestead
❑ ['( 4. Solaz Energy Heating/Cooling System
❑ j� 5. Wind Power Device
0 [� 6. Hydroelecti-ic Power Device
❑ [� 7. Geothermal Ener� Heating/Cooling Device
❑ [� Is this property a residenval rental proper*y?
❑ �. [Nould you like to receive tax statements for this
property via e-mail? (Provide contact information
below. Please see instructions for more information
Not available in all counries.)
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Under penalties of peijury, I hereby cerrify that this Sales Disclosure, to the best of my lmo�vledge and belief, is hve, correct
and complete as required by la�v, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (1Vote:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being ffied.) � ����� n'
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