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INDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
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Ra M. Drule Attornev No. 4759-26
Pr¢parei oJthe Safa D'ucloture Form Ttle
505 N. Church Street P O Box 146 Law Offce o( Rav M. Drvlev
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Fort B2nch. IN 47648
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. Old Princoton Rd
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Chvensvilie IN 47665
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Under penalties of perjury, t hereby certify [hat this Sales Disciosure, to the best of my knowledge and belief, is trve, correc[
and co Iete as required by Iaw, is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
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THESALESOISCLOSVREiORMMAYBEUSEDTOAPPLYFORCERTAINDE0UR10N5F SPROPERTY.IDEMIFI'ALLO SETHATAPPLY.
YFS NO CONDRIOY YES NO CONOITION
Q✓ � 1. Will this properry be the buyer's primary Q � 3. Homestead
residence? Provide comple[e address of prima Heatlng/Cooling System
residence, induding county:
5896 W 600 S ❑ Q 5. Wind Power Device
Addrer[Num6erand5treet) ❑ ❑�/ 6. Hydroelectric Power Device
Owensville. IN 47665 Gibson � � 7. Geothermal Energy Heating/Cooling Device
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❑ Q 2• Does [he buyer have a homestead in Indiana to be � � $� �s this property a residential rental property?
vaca[ed for Chis residence? If yes, provide ❑ 9• you like to receive tax sta[emenLS for [his
[omplete address of residence being vatated, erty via e-mail? (Provide contoct information
inciuding county: elo . P(ease see instrucdons%r more in%rmatlon.
Not ovailable in all coundes.J
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Under penalties of perjury, I hereby certify [hat this Sales Disclosure, to the best of my knowledge and belief, 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 Disclosure Act". (No[e:
Spouse informa[ion, Social5ecurity and Driver's License/Other numbers are no[ necessary if no Homestead Deduc[ion is
being filed.)
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