Homestead_Dunkel�— .
INDIANA SALES DISCLOSURE FOR�f SDF ID:
e0a�na o/the `Sala Disnclasure Form
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Addras (NumAer and StreelJ
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Ciry, Smle, ond Z/P Code
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Se11er1�Nomeasappmrsonronveanredocummt �
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Title
Company
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Telephone A'um6er E-mvil
'elle[J- Nome os appears on ronveyanm documen[
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�ddress (Num6er and Street) l
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;iq�, Sm:e, and ZIPCode
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Under penalties of perjury, I hereby certlfy that this Sales Disclosure, to the best of my knowledge and belie(, is [rue, correct
and complete as required by�law, and is prepared in aaordance with IC 6-11-S.S, "Real�.Loperty Sale�s Disclosure Act".
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FOR DEDUCTIONS AND
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THE SALFS DISCLOSIIRE FORM MAl' BE USED T0,1PPL7' FOR CERTAIN DEUURIO\5 FOR
5'FS NO COSDITIO.�'
/d ❑ 1. Will this property be the buyer's primary �
residence? Provide complete address of prima
n�, yo �resid�n�e, iyc�ytding county:
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dress (Nvmber and Saee:J
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Ciry. Smle ZIPCode Caunry
❑ [� 2. Does the buyer have a homestead to be vacated for
this residence? Ifyes, provide complete address of
residence vaca[ing, including county:
Addr¢s (Num6er and Stree[J
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Buyer 2� Name as apPears on ranveyance doaument
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Address (Num6er and 5[reet) �l
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�PERTY. IDHRTIFY ALL OF THOSE TNAT APPL1'.
res rco msoma�
❑ ❑ 3. Homes[ead �
.�_� 4. Solar Enerp,y Heating/Cooling System
� [y]� S. Wind Po�eer Devite
❑ �iJ 6. Hydroelectric Power Device
� [V� 7. Geothermal Energy Heating/Cooling Devite
� � 8. Is this proper[y a residenrial rental property?
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Under penalties of perjury, I hereby certify tha[ this Sales Disdosure, to the bes[ of my knowledge and belie(, is true, correct
and complete as required by law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Property Sales Disdosure Act".
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SAignamre of Bvyer] > 5�',�naNre o/Bvyer2/ T / �J �-�/)
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