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SALES
SDF ID:
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DONALD R. DOWEIL II REGIONAL MANAGER
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DIRECT�TITLE INC
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Under penalties of perjury, 1 hereby cerdfy tha[ this Sales Distlosure, to the best of my knowledge and belief, is true, correct
a\- mp t a\r�ui� y law, and is prepared in actordance with IC 6-11-5.5, "R/�eal Property Sales Disdosure Ac[".
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TNE SALES OISQOSURE FORM hLiY BE USED TO APPLY FOR CERTAIY
❑✓ ❑ 1. �Nill this property be the buyer's primary
residence? Provide complete address of prim
residence, induding �ounty:
10206 SOUTH O !AI .R04CIN DR
Addrrss (Number and StreetJ
HAUBSTADT.IN47639 GIBSON
Ciry,Smtel(PCode Counry
� � 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? [f yes, provide
complete address of residence being vacated,
iry{luding county:
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1rtbS-1'ael? �'� �-f7fi3� �.%iSdY1
[iry, Smte ZIPCade Counry
TNAT APPLY.
3. Homestead
4. Sola gy Heating/Cooling System
S. Wind Power Device
❑ Q✓ 6. Hydroelectric Power�Device
❑ ❑✓ 7. Geothermal Energy Heating/Cooling Device
❑ ❑✓ 8. Is this proper[y a residential rental property?
❑ 0✓ 9. Would you like [o receive tax statements for this
property via e-mail? (Provide contact informodon
6elow. Pleose see instructions for more informadon.
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Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and 6elief, is true, correct
and camplete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Proper[y Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's Litense/O[her numbers are not necessary if no Homestead Deducdon is
,