State Form 46234 - Seller'S Residential Real Estate Sales Disclosure

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Date (month, day, year)
State Form 46234 (R5 / 6-10)
Seller states that the information contained in this Disclosure is correct to the best of Seller's CURRENT ACTUAL KNOWLEDGE as of the above date. The
prospective buyer and the owner may wish to obtain professional advice or inspections of the property and provide for appropriate provisions in a contract
between them concerning any advice, inspections, defects, or warranties obtained on the property. The representations in this form are the representations
of the owner and are not the representations of the agent, if any. This information is for disclosure only and is not intended to be a part of any contract
between the buyer and the owner. Indiana law (IC 32-21-5) generally requires sellers of 1-4 unit residential property to complete this form regarding the
known physical condition of the property. An owner must complete and sign the disclosure form and submit the form to a prospective buyer before an offer
is accepted for the sale of the real estate.
Property address (number and street, city, state, and ZIP code)
1. The following are in the conditions indicated:
Explain
Circle one
Signature of Seller (at closing)
Date (mm/dd/yy)
Signature of Buyer
Date (mm/dd/yy)
Signature of Seller (at closing)
Date (mm/dd/yy)
Signature of Buyer
Date (mm/dd/yy)
Signature of Seller
Date (mm/dd/yy)
Signature of Seller
Date (mm/dd/yy)
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