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'INDIANASALES DISCLOSURE FORM SDF ID: :Page 2
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Preparer of the Sales Disclosure Form Title
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Address(Number and Street) ' Company
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City,State,and ZIP Code Telephone Number E-mail
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE Ti • YfilY�\
YES NO CONDITION I YES NO CONDITION Y11110
[I I" ❑ 1.Will this property be the buyer's primary ( ❑ 3.Homestead poi?Provide complete address of primary ❑ — 4.Solar Energy Heating/Cooling Syste
residence,including county:
❑ (l�' ' 5.Wind Power Device
Address(Number and Street) ❑ It-- 6.Hydroelectric Power DS
❑ Er 7.Geothermal Energy Heating "cling Device
City,State ZIP Code County
❑ Ty 6.Is this property a
Rr ❑ 2.Does the buyer have a homestead in Indiana to be
si rental
vacated for this residence? If yes,provide ❑ ❑ 9.Would you like to rece a tax statements for property?this
complete address of residence being vacated, property via e-mai . Provide contact information
including county: below.Please see instructions for more information.
Not available in all counties.)
Address(Numbyer gpd Str t)
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City State ZIP code / /� County
Pr10ue D:U ..J.=\-3 L17�7a V /6,S D/✓ Primary property owner contact name E-mail