Homestead_Maikranz (4)VDIANA SALES DISCLOSURE FORA1 SDF ID: ��
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E. SELLER 5 GRANTOR S)r.:;;t'-'- .
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Disclosur0, to ihe beS[ Of in}' knOt�'ledee and belief, is true, correct
and comgleFg�.required b}' la�+•, �d is prepared in accordance n'i�C G-1. �S, "Rea� r�o/pe � Sales Disclosure Acc".
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as eppears on
THE SALES DISCLOSURE FOR�f �id1' 6E USED TO APPLI' FOft CERTAI� DfDUR10�5 FOR THIS
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\'FS \'0 CO\DITIO\ / I
i. 41+i11 this property be the buyer's priman�
residence? Provide mmple[e address of �
4ddres/f:um� ranq5[,-eet) 1� ����� \ / ,�<�
�U.vboTi�d.7C � `J �l �
-a Counry
Ciq�, 5:ut�PCode
❑ I 2. Does the buy�er have a homes[ead in Indiana to be
racated for this residence? If yes, provide
complete address of residence being vacated,
induding county:
.4ddras (f.'umber aad Stree:)
Cin. Smte Z1PCOde
[ounn
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Buyer 2- A'ome as appears on conmvnce dommmt
Ad ressp�um6erandSGeetJ `J
�;�,�y��—tTTr, 4��a�-A__—
3. Homestead
TMATAPPLY.
Heating/Cooling Syscem
� 5. Wind Pov:er Device
❑ I 6. Hydroelectric Power Device
�- � 7. Geothermal Enerw Heating/Cooling Device
� , 8. Is this propertv a residential rental propem�?
� I 9. Would you like co receive tax sca.emencs �or diis
prop°rty via e-mail? (Provide conmctin%ormation
below. P(ease see instruc[ions(or more information.
NoY available in all counnes.)
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Under penalties of perjury, 1 hereby certif}' [hat this Sales Disclosure, [o [he best of my knowledge and belief, is [rue, correct
and comple[e as required by law, and is prepared in accordance �.•ith IC 6-11-S.S, "Real Properiy Sales Disdosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are no[ necessar}`if no Homestead Deduction is
bein�filed.) `��i (� Mj��. ��,��n�
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var.ea(Bvve: i � / � .� R+`n o(Buyer2/Spouse �y O� f O� r�� `
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