Homestead_Miller (6) H. PREPARER
Preparer of the Sales Disclosure Form Title
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Company Email Address
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
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Address(number and street) Address(number and street)
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City,State,and ZIP Code City,State,and ZIP Code
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my knowledge and belief,is true,correct,and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred
real property,or omits or falsifi tion required to be provided,commits a Level 5 felony.
Signature ofaaller Signature of Seller
Printed► a ler Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
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J. BUYER(S)/GRANTEE(S) —APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY'A TH PLY
r Buyer 1 Name as it appears on conveyance document Buyer 2—Name as it appears on S,onveyance cu e�
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Address(number and street) Address(number and -•et) I
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City,State, and ZIP Code City,State,and ZIP CodDN
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Email Address
for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
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Will this property be the buyer's primary 0 3. Homestead
X residence? 0 f 4. Solar Energy Heating or Cooling System
i Does the buyer have a homestead to be vacated 0 8- 5.Wind Power Device
O p�for this residence? If yes, provide address: 0 (?- 6. Hydroelectric Power Device
Address(number and street) 0 7. Geothermal Energy Heating or Cooling Device
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Under penalties of perjury,I hereby certify that 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 with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of
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