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Under penalties of perjury, l hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and co� lete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Proper[y Sales Disclosure Act".
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'AX DEDUCTIONS-.IDENTIFY.AliL ITEMS:THA'
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Buyer 2- Name as apprnrs om m�veyance dxument
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$ALFS DISCLOSURE iORM h1AY BE USED TO APPLY FOR CERTAIH DHDURIONS FOR TNIS PROPHRTY. IDENTIFY ALL OF THOSE THAT APPLY.
�� 1. Will [his proper[y be the buyer's primary
residence? Provide comple[e address of primary
residence, indud�n� cqu9ty:
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A dd�as (A'umbel and Street)
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[iry, SmreTJP [ade covnry
�� 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
induding munty:
A�j:tess yJumber and Se�ef) � �� I � � � / � 'I _ �
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YFS KO COYDITION
� 3. Homestead
� � 4. Solar Energy Heating/Cooling System
� � 5. Wind Power Device
� � 6. Hydroelectric Power Device
❑� 7. Geothermal Energy Hea[ing/Cooling Device
�� 8. Is this property a residential rental property?
���9. Would you like to receive tax sta[ements for this
proper[y via e-mail? (Provide con[act information
6elow. Please see instructlons for more in�ormadon.
Not available in all coun�ies.J
E-mail
Under penal[ies of perjury, I hereby certify tha[ this Sales Disdosure, to the best of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other nu�bers are not necessary if no Hom stead Deducdon is
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