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:AI411 SALES DISCLOSURE FORM SDF ID:
I.PREPARER
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Under penal[ies of perjury, I hereby cer[ify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and com�lete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[".
-APPLICAYION FOR
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ALL ITEMS THAT APPLY
as appmrs un convryon�e Jocument
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THE SALES DISCLOSURE FOR.M MAV BE USED TO dPPLY FOR CERTAIY UEDURIONS F00. THIS PROPERN. IDE.Y71FY dLL OF THOSE THAT.IPPLY.
YFS .�'0 COVDITIOY
(� ❑ 1. 4Vi0 this property be the buyer's primary
residence? Provide comple[e address of primar}�
reside ce, including counry:
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f,gl ❑ 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? Ifyes, provide
complete address of residence being vaca�ed,
including cou
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,IJdrrss (Number and 5erert)
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� ❑ 3. Homestead
Heating/Cooling System
Q 5. Wind Power Device
❑ [� 6. Hydroelectric Power Device
❑ [� 7. Geothermal Energy Heating/Cooling Device
❑ 8. Is this property a residential rental properiy?
❑ 9. bVould you like to receive tax statements for this
properry via e-mail? (Provide contact informo[ion
below. Please see instructians%r more informotion.
Not availnble in all rounties.)
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T MlmvrcproPrrMa�rnerronmrt name Em.ai/
Under penal[ies of perjury, 1 hereby certify that this Sales Disclosure, to the bes[ of my knowledge and belief, is [rue, correc[
and comple[e as required by law, and is prepared in accordance with IC 641-5.5, "Reai Property Sales Disclosure Act". (Note:
Spouse in(ormation, Soca� I Security and Dr�iy�er's License/O[her numbers are not necessary if no Homestead Deduc[ion is
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