Homestead_LikeLVD[ANA SALES DISCLOSUItC FORD7 SUP 10: pao� ��
D.PREPARER � � ��� �
Rav Pof. Drulev A;vomev P!o. a759-26
�Prepvrcr o/ (Ae Sula DlfAmun Fbrm Trtlr
505 N_ Church Street PO Box 146 Law O�ce of Rav Drulev
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E. SEI:CGR 5 GR.ANTOR(S) ' � ' ' _ _ - , - -
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Sc(kr 1- M1'ame ar appmrs om m�rqmnte Joavment Srfle. 2-:'�u�re vt apPro.: on twreycntedu�ument
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Under penalties of perjury, I hereby certily that this S.iles Disdosure, [o the best of my Icno�vledge and belief, is true, correct
and c plete as requircd by lau•, and is prepared in accordance with IC G-11-S.S, "Real Property Sales Disclosure Act".
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� P. BUYER S� GRANTL•F.� S�-APPL(CA'IION EOR PROPGRI'Y'I'AX DGDUC'I'IO�S- IDF:Y'I'IPY ALL ITGWS THAT�AI?PLY.'. ;. �
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Q✓ ❑ 1. N�ill lhis property 6e the buycr's primarv ✓Q ❑ 3. liomestcad
residence? Providc completc addre+s oi primar}� ❑ �':. Sular �ncrg;� licating/Coolin� System
residence. induiiino county:
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Haubstad[. Itd 47639 Gibson � � 7. ����hcrmal Gncr� Hea[in Cooling Device
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� 0✓ ?. Does che buyer have a homestcad in Indian:i to bc ` � � 8. Is this p� operry a residencial rennl properry?
vacated fur chis residence? lf yes, provide �❑ �✓ 9. 1NOUld you like eo receive cax staeemena for [his
comple.e address oFresidence beino vac. teJ, proper�y via e-mail? (Provrde contnc! in�ormation
indudine cnunty: i�elaw. Plcnse see instructions jor more in�ormation.
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� Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my lcno�vledge and belief, is true, correct
and comple[e as reyuired bq law, and is preparcd in accordance �vit6 IC G� LI-S.S, "Real Propert� Sales Disdosirre AcP'. (Note:
Spouse information, Social Securit�� and Driver's License/Othcr numbers are noc necessary if no Homestead Deductiun is
being Filed.)
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