Homestead_MatneyINDIANASALESDISCLOSURE FORM SDF1D: Pa e2
.DzEREFARER:�.�> . ..._��. �...7.. ._�;.,_. �.,.�4 .� ___� __ �..�.,,F.f . '� �.>�. ...,,. ��„v,_.
Anqie Lo�aulo Transaction Manaqer
Preparer of[Ae Salu DittbsireFarm Tfle
�225 Priority Way West Drive Security Title
AECrett (KumberCnQSa'ettJ Campony
Indianaoolis.IN 46240
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W'lliam A Krl�y .lane n. Kel�y
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Under penaltles of perjury, I hereby certify that this Sales Disclosure, to the best of my Imowledge and belief, is true, correct
and complete as required hy law nd is prepared in accordance wi[h IC 6-1.1-5.5, °Real Property Salec Disclosure Act".
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TNE SALES DISCIDSORE FORN MAY BE 1156D TO APPLY FOR CERTALY 0 EDUC170Y5 FOR THIS PROPf RTY. IDEN77FY ALL OF THOSH TNAT APPLY.
YES NO CO�DRION 4
� 1. Will this property be the buyer's primary 3. Homestead
residence? Provide complete address of primary , o r�nergy eating/Cooling System
� �� t�sid�c� inclu� ug cougty: ❑ �
L�l • S 5. Wind Power Device
.+��{es(A'umberandStrretl . �� , / � �✓ 6. Hydroelech-ic Power Device
f/�t/tnCSYr I��,� .� `V �%�o�o� I jj50/l_ � .� 7, Geothermal Energy Heating/Cooling Device
City.SmteZ/PCode Counry
� � 2. Dces the buyer have a homes[ead io Indiaoa to be ❑ $• 1s this property a residential rental properry?
vacated for [his residence? If yes, pmvide ❑ 9. Would you like to receive [ax statements for this
complete address of residence beiug vacated, property via e-mail? (Provide con[act injormaqon
including coanry: 6eloiv. Please see instrucdons for more injormatlon.
Notawilablein all counaes)
Address (NumDerm:d5ueu) � /_ I V � / — � ��^ _O � / , ^O`7 —^Ov
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Primaryproperry owna cmm�i name E-maii
Under penaldes of perjury, l hereby cerUfy that this Sales Disclosure, to the best of my Imowledge and belief, is true, correct
and complete as requ'ved by law, and is prepared in accordance wit61C 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse ' rmadon, Social Security and Drivers License/Other numbers are not necessary if no Homestead Deduction is
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