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Under penaltles of per�un•, I hereby rertlfy thac this Sales Disclosure, to the bes[ of mp knowledge and belief, ts we, rorrett
and /c/�m/y�R re as re ir U//µµ���. (d is repared in accordance with IC 6d.1�5.5, "Real PmperYy Saies Dlsdosure Act'.
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❑[] 2. Does [he buyer have a homestead in ladiana m be �� Q B. Is tiiis pmpe .ry a residen[ial rmUl property?
vacared for Nis residence? Ifyes. prmide ❑ Q 9. \vould you Iika ro recelve cax zca[emena (or this
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Under penalHes af per�ury, I hereEy cer[ify that tLis Sales Uisclasure, to the best of my knowleAge and bellef, is true, comect
and comP�ete as required by law, and is prepared in accordance nith I[ 64.1-5.5, "Real Property Sales Discbsure Aat'. (NOte:
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