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INDIANA SALES DISCLOStIRE FORM <br />SDF ID: <br />Z2_ 7 (,_ _,g-(±�1`l'r'�i�•� IS �VeI.>•G Tftle <br />Address(NumberandStreet) Gt� <br />Company' <br />City State, an d37P Code ✓ J�`7 — Z . S�.0 <br />..7- L_( _ -Z 3 r f Z�J /� Telephone Number <br />E-mail <br />Seller I -Name as appears on conveyance document -- <br />_. <br />Address (Number and Street) <br />SQL-t-� Re, �J _rev 4 (0 G i q <br />City, State, and ZIP Code <br />Se:Ier 2 -;.ama "'-rear. an canv yunce docume - <br />1:30 z <br />Address (Number and Street) <br />City, State, and ZIP Code <br />7'ele pane Number E-mail Tele hone Number <br />E-mail <br />Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is tru%-CPrrect: •. <br />and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure •. • •' <br />Signature of Seller <br />Printed Name of Seller <br />F. BUYERS .GRANTEl <br />CI f '4� sci.'ih <br />Buyer - Name as appears on <br />Signature of Seller <br />Sion Date (M,Sf/DD/yyM Printed Name o(Seller <br />— APPLICATION FOR DEDUCTIONS AND CREDITS - Ii)RNTltav n I:r. LTA rur.c •rxrn r n aot v <br />document <br />�L <br />Buyer 2 -Nome as appears on conveyance document <br />Address (Number and Street) <br />City, State, and ZIP Code <br />r�.C. <br />c-tna+t Tele hone Number <br />THE SALES DISCLOSURE, FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE <br />YES NO CONDITION <br />THAT APPLY. <br />❑ © 1. Will this property be the buyer's primary <br />YES <br />❑ <br />NO <br />❑ <br />CONDITION <br />3. Homestead <br />residence? Provide complete address of primary <br />❑ <br />residence, including county: <br />❑ <br />4. Solar Energy Heating/Cooling System <br />❑ <br />❑ <br />S. Wind Power Device <br />Address(NumberandStreetJ <br />❑ <br />❑ <br />6. Hydroelectric Power Device <br />C1ty,StateZIPCode County <br />El❑ <br />7•Geothermal Energy Heating/Cooling Device <br />❑ 2. Does the buyer have a homestead to be vacated for <br />❑ <br />❑ <br />8• Is this property a residential rental property? <br />this residence? if yes, provide complete address of <br />residence vacating, including county: <br />Address (Number and Street) <br />E-mail <br />Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct <br />and complete as required by law, and is prepared in accordance with 1C 6-1.1-5.5, "Real Property Sales Disclosure Act". <br />Signature of Buyerl <br />Signature of Buyer2 <br />Printed Name of Buyerl Sign pate [Mdf/DD/mYj Printed Nome ofBuyer2 <br />Date <br />