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Seller 2- Name os appears on cmveyanae dxument
Address (Number ond Sveet)
Ciry, Smt4 andZlPlode
Under penalties of perjury, t hereby certify that [his Sales Disdosure, to the best of my knowledge and belief, is true, correct
and comple[e as required by law, and is prepared in accordance wi[h IC 6-1.1•5.5, "Real Property Sales Disclosure Act".
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Buyer 7� NarrlAbl appears an conveyanre doaument
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Addresr (h'umber md SveeQ
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iry,
SgnaNreofSeller
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CT[ONS- IDENTIFYtf
Buyer 2- Name os appears on
Addres (Numberond Stree�)
City, Smte, md ZIPCade
TNE SALFS DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAI.Y DEDUCf10\S FOR TNIS PROPERTY. IDENTIFY ALL OF THOSE TXAT APPLY.
� ❑ 1. Will this property be [he buyer's primary
residence? Provide complete address of primary
� l_ yasidence� ipcluding county:
❑ � 2. Does the buyer have a homestead in Indiana to
vaca[ed for [his residence? If yes, provide
complete address of residence being vacated,
including county:
Addresr (Number and Svee[)
Ciry, SmteZlPCode
Counry
� ❑ 3. Homestead
❑ 4. Solar Energy Heating/Cooling System
❑ 5. Wind Power Device
❑ 6. Hydroelectric Power Device
❑ 7. Geo[hermal Energy Heating/Cooling Devite
❑ 8. Is [his proper[y a residential rental property?
❑ 9. Would you like to receive [ax statemenCS for this
property via e-mail? (Provide contoct in%rmadon
below. Please see instrucdons(or more infarmation.
Not availa6le in all counties.)
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Pnmarv oronem owner con:nR name E-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the bes[ of my knowledge and belief, is true, wrrec[
and complete as required by law, and is prepared in accordance with IC 64.1-5.5, "Real Property Sales Disclosure Ad". (Note:
Spouse informa[ion, Social Security and Drivers License/Other numbers are no[ necessary if no Homestead Deduction is
being f� � � I
nnl¢d Legol M1'a31e.yBUyer I
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