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Under pe s of perJu I hereby certlfy that thls Sales Dlsclosure, to the best of my knowledge and bellef, Is uve, carrect
and pl e as requlr�by �and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act'.
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THE SAIEt DLSU.OAIRE i0p71 NAY BE USEO TO APPLY FOR CERTAfN DEDURIOXS i'Oi THIS PqOVERry. IDCN7IFYALL OF TIOSE THAT APRY.
�( U 1. Will this property be the buyer's primary
residence? Provide complete address of primary
residence, intluding county:
916 ,u. u)os+ S'-�.
nee (rm„x.e,as�ry
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❑� Uaes the buyer have a homestead in Indiana to he
vacated for [hit residence? If yes, provide
complete address of residence being vawted,
including county:
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Ctry. f,tu7Ji[edr Coanry
� LJ 3. Homestead
�� 4. Solar Energy Heating/Cooling System
❑ �S.WindPowerDevice a0)D �D300
❑ �6. Hydroelectric Power Device
❑ �. Geo[hermat Ener� Hea�ng/Cooling De��ce
❑�8. Is this properry a residenaal rental property?
❑[✓]�9. Wauld you like [o recefve tax statements for this
property via email? (Provide rontoct rn%rmadon
below. Please see instrurtions for more in%rmatt�
�/ Not avaifab e in al! courtties) �('
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iJnder penalUes of perJury, I hereby certlfy that this Sales Dlsclosure, to the bes[ af my Imowledge and bellef, is trve, cormct
and compkte as required by law, and Is prepared In accordanre with IC bl.l•5.5, "Real Property Sates Disclasure Act". (Note:
Spouse Informatlan, Soclal Securlty and Drlvers License/Other numbers are not nxessary if no Homestead Deductlon is
being fi�L��C!/�-Y`—
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