Homestead_CarterINDIANA SALES DISCLOSURE FORM
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Under penal[ies of er'u 1 hereby cer[ify [hat [his Sales Disclosure, to the bes[ of my knowledge and belief, is [rue, correc[
and coq e iired b� , a d is ee(iared in accordance witnhf�ICbh 1.1-5.5, "Real Properpty� Sales Disclosure Act".
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THE SALFS DISCIASURE FOMf MAY 8E USED TO APPLY FOR CERTAIY UED�RIONS FOR THIS PROPERTY. IUEMIFY ALL OF THOSE THAT APPLY.
[� ❑ 1. Will this proper[y be the buyer's primary
residence? Providecomple[eaddressofprimary
residence, including tounty:
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❑ IM 2. Does [he buyer have a homestead in Indiana [o be
�� vacated for [his residence? If yes, provide
� complete address of residence being vacated,
including county:
(Numberand5tree[]
Ciry, Sw<e ZIPCode
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3. Homestead
4. Solar Energy Heating/Cooling System
S. Wind Power Device
6. Hydroelectric Power Device
7. Geo[hermal Energy Heating/Cooling Device
6. Is this property a residential rental property?
9. Would you like to receive tax statements for this
property via e-mail? (Provide con[act information
below. Please see instrucdans for more information.
Notavailable in all tounties.)
ownrr mnmc[ name
Under penal[ies o(perjury, I hereby cer[ify tha[ Ihis Sales Disclosure, to [he bes[ of my knowledge and belief, is [rue, 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". (Note:
Spouse informa[i�cial Security and Driver's License/O[her numbers are not necessary if no Homes[ead Deduc[ion is
ofauyerz/spouse