Homestead_Wallace (26) H. PREPARER
Pr arer ofthe Sales Disclosure o Title
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Company Email Address
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I. SELLER(S)/GRANTOR(S)
S ler 1,7 Name as it appears on conveyance document Seller 2—Name as appears on conveyanc document
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Address(number and street) Address(numbef anc tr t) i S+
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required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred
real property,or omits or Isifies any information required to be provided,commits a Level 5 felony.
to of S eZ4 Signature of Seller
4.1 f e er Date Signed(mm/d /yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
—APPLICATI N F
J. BUYER(S)/GRANTEE(S) PROPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY
Buyer 1—Name as it appears ou conveyance document Buyer 2—Name as it appears on conveyance d ent
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Address um er an street) Address(number and street)
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Ci State,and ZIP Code T- � ���� City,State,and ZIP Code � ?'' �
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Email Address
for certain deductions.Identify aY a that a p y —
YES NO CONDITION YES NO CONDITION �0�9Z/ /J\�
1.Will this property be the buyer's primary . 0 3.Homestead
oizr residence? 0 (2) 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 5.Wind Power Device
❑ for this residence?If yes,provide address: ❑ fd' 6.Hydroelectric Power Device
Address(number and street) 0 B' �7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County — s2"V 7- �/o -b0(. 07 y - b,a 8
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct,and complete
as required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of
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