Homestead_Corn (6) I. ,
INC.aNA SALES DISCLOSURE FORM SDF ID:
D.PREPARER - Page 2
Benjamin S J. •WEams
Avoernrteseerpn:bf'.rrPom Ah fir at Law
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P.O.Box 11643 Shambaugh.Kasl Beck 8 Maras LLP
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Fort Wayne IN 45859 wry
City.i:ee.en4 zrvnm (2801423-1430 law illiamsrasibvrmm,l
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F.SELLER(S]/GRANTOSS)
D'avP Blair act t n a BFmenhienr FSrar=
Seer I-Yomc mapper:ca eangrueea:cxnr
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:a0.1444rofinal�Ir{J acceptance I AAA transfer
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Subject to final acceptance for transfer
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Under penal s of perjury,!hereby certify that this Sales Disclosure,to the best of my knowledge re
and comp! e and belief,s tree,correct
P requi law,and is prepared in accordance with IC 6-1.1-5.5,"Real Properly Sales Disclosure Art`.
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c 3UYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY AI,L ITEMS THAT APPLY
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THESAiES DISCl/KURE CORM SAY BE USED TO APPLYFOR CERTAIN DEDUCTIONS FOP Ro•ERY..IDE}TFY ALL OF11105E TH.ATP . ,n� r,L�
'35 NO CONDITION l
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-s NO CONDITION_A ❑ 1.Will this property be the buyer's primary X ❑ 3,Homestea f
residence? Provide complete address of primary
residence,including county: ❑ 4 Solar Ener;; 1 n Im s}B„/ ...J
"u>-avmmmra„4 um.,r ❑ O S.Wind Power Device
❑ a 6.Hydroelectric Power Device AUG _ 1 2018
ey.nrevv Code
❑ Z 7.Geothermal Energy Hearing/Cooling Device
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I 2.Dues the buyer haves homestead in Indiana to he
❑ ❑ a Is this property a residential rental grope >
vacated fur this residence? If yes,provide ❑
.complete address of residence being vacated, ❑ 9. ropryoulie- to receive(Pro tax statements r
including county: property via e-mail?(Provide cornr4�•a��tm,JD "-T'
below.Please see instructions/oral: do N
Ae4vYeamsernm n,erp NDrovailable in all counties.)
f ildAngG6d'UNTY AUDITOR
CC.:S_re ZIP is i_26-14-19-103-000. 961-006
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