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INDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
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Preparerofthe'ales Disclosure Form Title
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Address(Number and Street)
E-mail
E.'SELIR(S)/GRANTOR(S1 . [. . ', . : �;:-
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Seller 1-Name as appears on conveyance document Seller 2-fame as appears on conveyance document
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Address(Number and Street) Address(Number and Street)
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is true,correct ,
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signature of Seller �Siignatureoff Iler
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Printed hla o Seller ` Sign Date(MM/DD/YYYY) Printed NYme of Seller ! (MM DDr
F Bt1'YER S GRANTEES 'APPLICATIONFOR PROPERTY:TAX DEDUCTIONS- IDENTIFY ALL I - S A S� DPPLY ..
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_ Buyer]_Name appears on con veyorrcj document Buyer 2-Name as appears on conveyance doc'thehl
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Address(Number and Street) Address(Number and Street) ii
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YES NO CONDITION ES NO CONDITION
g ❑ 1.Will this property be the buyer's primary [ ❑ 3.Homestead
residence? Provide complete address of primary TgyHeating/Cooling System
residence,including county:
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Address(Number and Strcet) COEl .Hydroelectric Power Device
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City,State ZIP Cdde County
❑ Er2.Does the buyer have a homestead in Indiana to be [I] B.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail? Provide contact information
including county: b . ease see instructions form ormation.
Not available in all counties.)
Address(Number and Street)
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City,State ZIP Code County ./
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