Homestead_BrozFORM SDFID:
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Under penal[ies of perjury,l hereby certify that this Sales Disclosure, to the bestoFmy knowledge and belief, is true, corred
and comple as required b law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act'.
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7NE SAIFS DISClOSURE FORht MAY BE IISGO TO APPLY FOR CERTAIN DEOUCTIONS FOR
�❑ 1. Will this property be the buyer's primary ( �
residente? Provide complete address of primary\
res/]) dence, includin�county:
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Ad'm(Num.beron StrtetJ
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Gry,Sm[eLPlode County
� �. Does the buyer have a homestead in Indiana to bc
vacated for this residence? If yes, provide
complete address of residence being vacated,
including caunty:
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Duyrr7 - Name os oppmn ���.�R�r daument
Mdreu (ryum6t� ond Strn[J
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TNAT APPI.Y.
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L7�SOlar Energy Heating�Cooling System
❑ [� 5. Wind Power Device
❑ [/� 6. Hydroelectric Power Device
❑ [� 7. Geotherma! Ener� Heating/Cooling Device
❑ [� 8. Is this property a residential rental property?
❑ �9. Would you like ro receive tax statements for this
property via e-mail? (Provide contactinformation
below. Please see instructions jor more in%rmation.
Not avaiio6le in all counties.)
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Under penalties of perjury, l hereby certify [hat this Sales Disclosure, to the best of my knowledge and bellef, is true, cortect
and complete as required by law, and }}}'§§§ prepared in accordance with IC 6-1.1•5.5, "Real Property Sales Disclosure Act". (Note:
Spo � e in( )rmatio � cial Secyr�ity �f�d � 's L�se/Other numbers are not necessary if no Homestead Deduction is
bcin filed. �� ��
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