Homestead_FishbackIDIANASALFS DISCLOSOREFORM SDFID:
.PREPARER -_- -
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SELLER[S�/GRANTOR(S� -
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�jdd`res (NVm6er mrd Stree[)
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Under pen "es of perjury, l
and c,� ete as repuired by
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Imowledge
1 Property:
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DISO.OSUltE FORM MAY BE USED TO MPLY iOR C�iTAIN DEDUCf10N5 FOR THIS PROPERTY. IDENTI}YALL OF TNOSE THAT MPLY.
� ❑ 1. Will this property be the buyer's primary
residence? Provide complete address of primary
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❑ 2. Does the buyer have a homestead in indiana to be
vap[ed for this residence? If yes, provide
complete address of residence being vap[ed,
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belief, is trve, correc[
Disclosure Act".
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3. Homestead
4. Solar Energy Heating/Cooling System
5. Wind Power Device
6. Hydroelectric Power Device
7. Geothermal Ener� HeatingJCooling Device
B. Is this property a residendal rental property?
9. Would you like to receive tax statementr for this
property via e-mail? (Provide contact information
be/ow. Please see insdvcdons for more in/ormatlon.
Notavailable in all caundes)
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Primmypropelrymmcmnmctname E-mail
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