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Addrm(Numbca�5bert)
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Addim (Numbrr and Sb eet)
Crty. Slatq and ZlPfnde
Under penalties of perjury, l hereby certify that tbis Sales Disdosure, [o the best of my Imowledge and belief, is hve, corred
and complete u requ'ved �b law, an�/d is pr ared in ancwrdance with [C 6-1.1-5.5, °Real Property Sales Disclosure Ad°.
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namrea/Sellc �T � I SgaaGreofStlNr
Gry, Smrg
FOR THIS PROPQtTY.
�❑ 1. Will this property be the buyer's pr'vnary
residence? Provide complete address of primary
r�e sidence, in� fluding caunty:
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Ciry, Smre7JPCade Covnry
❑ � 2. Does the buyer have a homestead in Indiana to be
vaca[ed for this residence? If yes, provide
complete address of residence being vapted,
including county:
Addrm (Numbc and StreetJ
CIty,Smte9PCadr
on
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[v]� 4. Solaz Energy Heating/Cooling System
❑ � S. Wind Power Device
❑ [j' 6. Hydroelectric Pawer Device
❑ � 7. Geothermal Energy Heatlng/Cooling Device
❑ �� 8. Is this property a residential rental proper[y?
� ❑ 9. Would you like to receive tax statements for this
property via rmail? (Provide conmct informatlon
be/ow. Please see instrucdons for more informadon.
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