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Under penalties of perjury, I hereby certify thatthis Sales Disciosure, to the best of my lmowledge and belief, is true, correct
and cqaqplete as rp ' ed by 1�v, and is prepared in accordance �vith IC 6-L1-S.S, " eal Pro erty Sales Disclosure Act".
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THE SNYS DLSCLOSU[t& FORd7 MAY 9G ll5m TO e1PPLY FOR CCRTALY
�❑ L Will this properrybe the buyer's
residence? Provide complete ad�
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❑ �. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address ofresidencebeingvacated,
including county:
Addrea (NUmb v cnd StreetJ
LYry,S[c[eZfPCade counry
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❑ 3. Homestead
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docuna�t
APPLY.
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' Heating/Cooling5ystem
❑ [GJ�S. Wind Power Device
❑ �,--,/ 6. Hydroele�ti-ic Power Device
� �7.GeothermalEnergyHeating/CoolingDevice
Ls this property a residential rental pmperty?
❑ 9. Would you like to receive tax sratements for this
property via e-mail? (Provide contact informaGon
below. Please see instructions for more informaA'on.
Notavailable in a(1 counties.)
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Under penalties of pecjury, I hereby certify that this Sales Disclosure, to the best of my l�owledge and belief, is true, correct
and complete as required by la�v, and is prepared in accordance �vith IC 6-1.1-S.S, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filed.)
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