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Homestead_Jenkins (3)C19'.h'-�c:1=iJCc^e Y+fi Sw_�cc -mr, :4 �t/l "��h,tl�r I L'tf��ti r� _ .. _ . ,. .�._ ,..._. _. _ .. .� �, ' `�` - _ _ "- _ r is -' �Lj.' . "r„" ` : - _- . _.. •._. . Y . ..�. >(if' � ..VC^l2' G�OfG _ T CCI�t'({ �^L! LCiYmI^: .�s_a: r.:>-:tR.:rts:-K; w, s�:� �d�=ae. E-rx:: Under penalties of perj�u}•, 1 hereby certift• d�at this Sales Disclosure, to the best of m}•laioavledge and be�ief, is ime, correct an oi e,C a�s� req�red /by`�la}`�f� nd is repared in accordance widi IC 6•1.1•S.i,�" al Property Sales Disdomre Ac['. �'�Lrl � � C-�`7/Gtf�l.� (��Gr1�U1 ��\''��,IPA� ss=c:v�.r�;'�'-`i � /.� _ . . .. i `� -�"+f; � �":( E� er?. Sanr m cpr_�: as <s.+'ryntie rtx�m: wdt.�esi ^ic.^Fmc�LT^�r.j „SS:e md=.?COie iHE S1LES OIS[LONRE FORM PL1Y 8E lSED TO APPLY FOR [ERi.lL� DED[iCTI0Y5 FOR TNLS PROPERTI'. IDEVTiFS'.ILL OF SHOSE SFLii,IPPt]'. 1TS AO fAKDIIIOV YFS XD CO\DITIOA �[ � i. FVili this proper.y be the buyer's prir.�ary r residence? Procide complete address of prir.�an� �/\� .f�idenc�ia[l.uling`�nh�: � %�_. ( 1 ( / /l L�� �L J �� 2. Does the buyer have a homestead ia lndiaaa :o be �aca:ed,"or &is residence? if c�es, oro��de to:nplete address of residence being �acated, includiag touah�: ddc.-.•s I�Lmtir� er.d 5:-er.j ;. =:.�:�b. .. - � � 3. Homes:ead � 4. Solar Enera� Hea:ing/Cooling S}•ster.i � 5. �tiind Po���er Device � G Hydroelectric Power De�ice � 7. Geoiherr.ial Energ�� Hearing/Cooling Device � 8. Is this propem• a residentlal rental prope^q•? � 9. �tioiild you like to receice ta.i stateme�ts for this property cia e-tnail': (Proidde cmitact infarmavon oeioiv. Pieese see instr.�ctior.s for rrore in(ormation tiot m�ai7able in oll coun:ies.) �� - i9 �� �ar-�oi �sa_ aa� Under penalties of perjun�, I herebq certify tha: this Sales Disclosure, to t6e best of my 6��owledge and belief, is trve, correct ai�d complete as requii•ed b}� law, and is prepared in accordance a+�th IL 6-11-55, "Real Propertt• Sales Disclosure AcY. (Note: Spoiise inforniatian, Sorial Sen�rih� and Driver's License/Other uu�nbers are not necessa�y if no Houiestead Deduction is beingFiled.) �,,, /f /� � GNk�NS l0—� I—�1 Lc;: Li<rns:/ID/O:her:V::: n3c� iF'ea:-e ci P'le_'/S.wmr f'!LS�C�=iC:+�O.'RSGIjy[r�%-:'lJl $_T.v�.'.'3lv'�'i..v)i'�:+f Lcs*.Scigi:;v(E.}�er �5ao:i:Dris^er� Sc:e L�:iD:y:^tfSocia?Ser.�rit: ;Yi•mber Lirerx?��A.';�r;��m6er