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INDIANA SALES DISCLOSURE FORM SDF ID: 1,noou �_
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Preparerofthe Sales Disclosure Form Tftle
Address Company
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E E 'SELLER(S)/GRANTOR(S
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Seller I - No— as appears an amvemnm document
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Address, (Number mud Street)
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City, Stag and ZIP Code
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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 IC6-11-5., "Re Property Sales Disclosure Act".
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F: BUYER GRANTEE (S) -'APPLICATION FOR PROPERTY XAX DEDUCTIONS- IDENTIFY ALL I ITEMS THAT APPLY--.,
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Buyer I - Name as appear, on mnveyanadacument
Buyer 2 - Name as appears an cam,.yanm document
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Address(NumbarcmdStrcet,)
Chy,State, and!ZIPCoda
City, State, amIZIPCode
Tel, ,hone Number E-muff
TBE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAFN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSETHAT APPLY.
YES No OCINDMON
do ❑ 1. Will this property be the buyer's primary
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residence? Provide complete address of p ary
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❑ M 4: Solar E r er eating /Cooling System
residence, including cpuny
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p,1 NM 0
'm er Device
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6. Hydroelectric Power Device
Add,ess(NumbervadSdeet)
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Olt, 7, Geothermal Energy Heating/Cooling Device
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❑ 2. Does buyer have homestead
❑ B. is this property a residential rental property?
the a in Indiana to be
vacated for this residence? If yes, provide
9. Would you like to receive tax statements for this
complete address of residence being vacated,
property via e-mail? (Provide contact information
including county:
below. Please see instructions for more information.
Not available in all counties)
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Add,ess(NumberandStreet) 40 T�
Ory,StateZIPCod, County
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Prunarypropertyoumercantan! name E.11
Under penalties of perjury, I 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.)
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Buyer I 57ga Data (MMIDDIffM Aimed Legal Name a/ Buyer 21Spaaw Sig. Date (MMIDDIVYM
Number Last 5 digits ofBuyer21Sjaause Driver's State Last 5ftim ofsadalSerurity
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