Homestead_Garrett (13)INDIANA SALES DISCLOSURE FORM
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Ciry, Smre.
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Selle� 1-' e as appears on ronveynnce dacnment Sellaf 2� Name as appears on mmryarrce dxument
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Under penalties of perjury, I hereby certify that this Sales Disclosure, to [he best of my knowledge and belief, is true, correct
artH3sgyplete as repyire,A't�lj% Iaw,an�jSs,�prepared in accordance with IC 64.1-S.S, "Real Property Sales Disclosure Act".
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TO APPLY FOH CERTAI,Y DHDUCI'IONS FOR
�❑ 1.4Vi11 [his property be the buyer's primary �t
residence? Provide comple[e address of primary
residence, including county:
Addras (Number md Stre¢y
Ciry,S�° hre IPCOde [ounry
❑� 2. Does the buyer have a homes[ead in Indiana to be
vaca[ed for Chis residen[e? If yes, provide
complete address of residence being vacated,
induding county:
AdEren (NUm6er ond Street)
Clry, SWteTJP lade Counry
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APPLY.
4. Solar Energy Heating/Cooling System
S. Wind Power Device
6. Hydroelectric Power Device
�7. Geothermal Energy Heating/Cooling Device
8. Is this property a residential rental proper[y?
9. Would you like to receive tax statements for chis
property via e-mail? (Provide mntad in(orma[ion
6elow. Please see instructions for more information.
/ Nat availa6le in all counnes. s
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Under penalties of perjury, I hereby certify that Ihis Sales Disclosure, ro the best of my knowledge and belief, is true, correct
and comple[e as required by law, and is prepared in accordance with IC 64.1-S.S, "Real Property Sales Disdosure Act". (Note:
Spouse information, Socj�l Secpri�y and Drivers License/Other numbers are no[ necessary if no Homestead Deduction is
Number
Num6er Litense/lD/OtherNum6er
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