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SALES DISCLOSURE FORM SUF It):
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D. PREPARER - - `
Disclosure Form
116 S. Main St
Address (Number and Street)
Princeton. IN 47670
City, Slaw, and ZIP Code.
Attorney
Title
Email
F SHLLERlSI' /GRANTORfSI ':
AARON ❑NTERPRICCC INC.
seller I . Name as appears on conveyance document
5101 ICI ICT7 Rn
Address (Number and Sweet)
FVANSVII LF. IN 47720
Ciry, State, and ZIP Code
Under penalties of
and cormAetea5 re
Buyer I
City State.
Seller Z - Name as appears on
Address (Number and Street)
and ZIP Code
certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
d is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ".
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Signammof5eller
- Nome as appears on conveyance document
Address (Number and Street)
City, State, and ZIP Code
THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
I l ,
❑✓ ❑ 1. Will this property be the buyer's primary
residence? Provide complete address of primary
residence, including county:
(Number and Streer)
Ciry. Score ZIP Cade County
2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
inciuding county:
Address (Number oral
City, State ZIP Code County
❑J
3. Homestead
r]
Q
4. Solar Energy Heating /Cooli g System
F1
n✓
S. Wind Power Device
❑
❑✓
6. Hydroelectric Power Device
7. Geothermal Energy Heating /Cooling Device
JQ
8. Is this property a residential rental property?
9. Would you like to receive tax statements for this
property via a -mail? (Provide contact information
below. Please see instructions for more information.
Not available in all counties.)
tti;m ".., ",..o"rrv.,un.r mnmctname Email
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance with IC 6.1.1 -5.5, "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.) /?
ofBuyerl
07/12/10
License /ID /Other Number
Signature ofBuyer2 /Spouse
Printed Legal Name of Buyer 2 15pouse Sign Dow(MM/DD/YYYY)
Last S digits of Buyer 2 /Spouse Driver's Stare Last 5 Digi6 of social secunty
Number License /ID /Other Number