Homestead_Smith (2)INDIANA SALES DISCLOSURE FORM SDF ID: � ge 2
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E. SELLER(5�/GRANTOR(S) '
Seller ]- Name as appears on ronveymae dxument
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Address (Number and Street)
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Ciry, Sm:e. and ZIPCode
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SA M E.
Address (Num6er and Stree[J
Ciry, Smte, and ZIP Code
Under penalties of perjury, l hereby cer[ify [hat [his Sales Disdosure, [o the best of my knowledge and belief, is [rue, correct
and complete a�3, required by /I�w, and is prepared in accordance with IC 6•1.1•5.5, "Real Property Sales Disclosure AcY'.
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ITEMS THAT APPLY
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Gry.Smre.andZlPCode � Ciry.Smn.andZlPCode
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THe SdLFS DISCLOSURE FOR�7 MdY BE USED TO APPIY FOR CERTAIY DEDUCf10NS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
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[� � 1. Will this property be the buyer's primary
residence? Provide complete address oF primary
r idence, induding county:
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Address(NumberandSVee:) ' /�
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Ciryt Smte Z1P Code County
� �j 2. Does the buyer have a homestead to be vacated for
this residence? Ifyes, provide complete address of
residence vacaring, including county:
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3. Homestead
Energy Heating/Cooling System
5. Wind Po�ver De��ce
6. Hydroelectric Power Device
7. Geothermal Energy Heating/Cooling Device
8. Is this property a residential rental property?
Under penalties of perjury, 1 hereb� certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and comple[e a$ rei}uired by.lawland is prepared in accordance wi[h IC 6-1.1-5.5, "Real Property Sales Disdosure Act".
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