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.Under penalties of perjuryi hereby.certify that this SalesDisclosure to the best Of my.ka o vledge and belief Ts true correct,f.
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1 WII1this ro e` bethebu ers nia H ` , ' r
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residence Provide complete address of primary ® . j- 4 Solar Energy Heating/Cooling System •
i residence,including county r'..1.%.•:1 ' •
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Ad dress"(Number andstree J'`3 0' al 6 Hydroelectric POWer Device
City,State ZIP code ° t 'County _ e� 7 Geothermal Energy Heating/Cooling Device
®�B.Is this property a residential rental property?
0, ( 2 Does the buyer have a homestead in Indiana to be . - '
vacated for this residence'' If yes provide " _ [2_,„...9.Would you tike to receive tax statements for this '•
complete address of residence being vacated, property via a mail''(Provide`contact information '
including county: .below Please see mstruchons for more information. •
Notavai/able in all counties.) • '
Address(Number and Street) _
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