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Under penalties of perjury, 1 hereby certify that this Sales Disciosure, to the best of my knowledge and belief, is true, correc[
and complete as required ix� la�v, and is prepared in accordance �4�th IC 6-11-S.S, "Real Propem- Sa7es Disdosure A�t".
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THE SALES DISCLOSURE FORN Af AY BE USED TO APPLY FOR CEATAIN DEDUC7ION5 FOR THIS PftOPERTY. IOEYTIFY ALL OF THOSE THAT.422! 1".
-� � 1. Will [his property 6e the 6vyer's primary �
residence? Pro�ride complete address of primary
• reside �e, indudi a c unty: /
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� . Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence 6eing vacated,
induding counry:
Addius(NUmbr. avd5vm[) � �
Code Counry
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� n�3. Y.omes`•ead -
� �%j 4. Solar Ener�+Hezting/Coo]ing System
�, �5. lNind Pnv�er Dev�re - -
❑ ,��,�6. Hydroelectric Power Devi�e
❑❑ � y',7. Geo[hernal Ene;gy Heating/Cooling Device
� ��� . Is :his propzrbj a residenral rental-propzr'y?
. Would you like to recet��e taY statements for rhis
property via e-mail? (Provide cont6ct informotion
below. Please see inscrucnans for more injorma�ion.
Notavaila6le in all counties.) _
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PnmarvoroorY.vownerccnmCr.ane . £-mcil
Under penaltles of perjur}•, I hereby certify that this Sales Disclosure, to the best uf my k:nowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance K�th [C 6-1.1-5.5, "Real Propert4 Sales Disclosure Act". (Notc:
Spouse information, Social Security and Driver's License/Other numbers are not �ecessary if uo Homestead Deducbon is'
beingfiled.�/� L � �. �� �/)� � - � �
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