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Seller 7-Name os appe5rs on rom^�eyn.�nce do—cumm[ Sel/er 2- A'ome as appean om m�veyance drcummc
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Under penalties of perjury, 1 hereby certify Iha[ [his Sales Disclosure, to the best of my knowledge and belief, is true, correc[
andyamplete as required by law, and is prepared in accordance wi[h IC 6-11•5.5, "Real Proper[y Sales Disclosure Act".
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=APPLICATION�FOR PROPERTY�TAX
SignaWreo%Seller
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Bu�tr ]- Name as appmrs on canveyance do[ument dyer? � Name asappears on tonveynnre Cocumen[
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TNE SALES DISCLOSURE FORM AIAY BE USF.O TO APPLY FOR CERTAI.�' DEDUCf IO�S FOR TNIS PROPERTY.
�� 1. Will this property be the buyer's primary `
residence? Provide complete address of primary
� residence, including county:
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Ciry.Srute PCade . Counry.
� 2. Does the buyer have a homestead in Indiana to be
vaca[ed for this residence? If yes, pro��de
complete address of residence being vacated,
induding county:
Aadres (A'vmber and Stree[)
Ciry, Smre Z1P lade Counry
�,� 4. Solar Energy Heatlng/Cooling System
n � 5. lNind Power Device
❑ 6. Hydroelectr,c Power Device
❑ � 7. Geo[hermal Energy Heating/Cooling Device �
� � 8. Is this property a residenrial rental property?-
❑ �„ 9. N�ould you like [o receive tax statements for this
property via e-mail? (Provide contoct information
below.-Please�reeirts� � ns ormoreinformation
ot avat(able m a/( counties
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� Ynmary r owmerronractname E-
Under penal[ies of perjury, I hereby certify [ha[ [his Sales Disclosure, to [he best of my knowle ge and belief, is true, correc[
and complete as required by law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Proper[y Sales Disclosure Act". (Note:
Spouse informa[ion, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filed.) -
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