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SALES DISCLOSURE PART 1(A) <br />-'ck' State Form 55632 (R / 1-21) <br />YF=.- PRIVACY NOTICE: The telephone numbers and Social Security numbers <br />of the parties on this form are confidential according to IC 6-1.1-5.5-3. <br />Do NOT place personally identifiable information (e.g. consulate numbers, <br />passport numbers; government ID numbers, etc.) on this form as it may <br />become publicly available. <br />SDF ID <br />County Year Unique ID <br />PART 1 - To be completed by BUYER/GRANTEE and SELLER/GRANTOR <br />A. PROPERTY TRANSFERRED - Must be conveyed on a single conveyance document. <br />(Multiple parcels can be listed on this form and attached to State Form 46021 only if they are contiguous and <br />located entirely within a single taxing district.) <br />1. Parcel Number or Tax <br />Identification Number <br />Check all boxes <br />applicable to parcel. <br />5. Complete Address of Property <br />6. Complete Tax Billing Address (if <br />different from property address) <br />B•) <br />O 2. Split <br />O 3. Land <br />O 4.Improvement <br />7. Legal Description of Parcel B: <br />C.) O 2. Split <br />❑ 3. Land <br />O 4.Improvement <br />7. Legal Description of Parcel C: <br />D•) O 2. Split <br />O 3. Land <br />O 4.Improvement <br />7. Legal Description of Parcel D: <br />E.) O 2. Split <br />O 3. Land <br />O 4.Improvement <br />7. Legal Description of Parcel E: <br />F•) O 2. Split <br />O 3. Land <br />O 4.Improvement <br />7. Legal Description of Parcel F: <br />G.) O 2. Split <br />❑ 3. Land <br />❑ 4.Improvement <br />7. Legal Description of Parcel G: <br />H•) ❑ 2. Split <br />O 3. Land <br />❑ 4.Improvement <br />7. Legal Description of Parcel H: <br />Page 5 <br />