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Under penaltles of perJury, l hereby certlty that thls Sales Dlsclasare, to the best of my lmowtedge and bellef, is we, rnrrect
and completr as required bq Isw, and Is pmpamd in accordance with 6-1.1-SS, "R Prope Sales osure Aa",
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� L Will this property be the buyers primary
residence? Provide complete address otprimary
residence, in[ludin unty:
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❑�oes the 6uyer have a homestead In Indiana to be
varated forthLs residence? Ifyes, provtde
comple[e address of residence being vaated
induding county:
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LJ 3. HomesOead
[�" 4. Solar E¢er� Headng/Cooling System
[t�" 5. Wlnd Power Device
� 6. Hydroelectric Power Device
[� 7. Geothertnal Energy Headng/Caoling Device
LJ g� �s thls property a res(dentlal renral property7
� 9. WoWd you like to reteive fax statemenCS for d115
���roA � mail? oonmct infortnvtlon
ow.�P es ns cp ns%rmorein�armatlon.
Uoder penaltles of perjury, l hereby certlfy that thb sa�es Dlsclosure, w the beat o(my knowiedge and belie4 Ls we, rnrrect
and complete as requfred by law, anQ Is prepared In accordance wlth IC bl.l-5.5, 'Real Property Sales Dlsclosure AcC. [Hote:
Sp�se tnformatlon, Social Securlty and Drivers License/Other numbers are noi necessary If no Homestead Dedaction V
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