“Purchaser”), by ______________________ deed, the following Real Estate located i n __________________ County, Indiana:
and commonly known as _________________ __________________________ ______________________ ________________
(hereinafter referred to as “ Real Estate”).The unders igned he reby rep resent t hat t his rea l estat e is not “prop erty” a s defin ed in I ndiana Code 13 - 11 -2- 174, and is
not, and has not been used as a landfill or dump, and contai ns no underground stora ge tanks or t oxic or hazardous waste or
materi als , and tha t no disc losur e st ateme nt un der India na Cod e 13 - 25 -3- 1, et. seq. ( Indiana Responsible Property Transfer
Law), is requir ed for this t ransact ion.In connection w ith the sale of Real Estate , Ve ndor has fu rnished P urchaser w ith a comm itment fo r an own er’s policy
of title insurance for the Real Estate under date of _____________________________, 20________, issued by ____________
_______________________ as number ____________________________________________________.Vendor has an in defea sible est ate in fe e si mple i n th e Real Est ate; and the Real Estat e is fre e and clea r of ever y ki nd
of description lien, lea se or encumbrance except the following: 1. Easements, agre ements, covenants, and restrictions of record disclosed in said commitm ent. 2. Current taxe s not delinquent . 3. Whatever matters affecting t he Real Estate, if any, di sclosed in t he above deed.Vendor has not e xecut ed, or pe rmitt ed an yone i n Ven dor’s behal f t o exe cute, any co nveyance, mortgage, lien, l ease,
security agreement, financing statement, or encumbranc e of or upon the Real Estate of any fixtures attached thereto, except a s
stated above, which is now outstanding or enforceable against the Real Estate. Ven dor has made n o contr act to sel l all or a part
of the Real Est ate to any per son other than the Purchaser, and Vendor has not gi ven to any pers on an option to purchase all o r
any part of the Real Estate, which is enforceable or exercisable now or at any time in the future. There are no unpaid claims for
labor done upon or m aterials furn ished for the Real Esta te in respect o f which lien s have be en or may be filed. Th e
improvem ents upo n the Real E state are all lo cated entirely within the bounds o f the Real E state, and the re are no
encroachments thereon. There are no existing vi olations of zoning ordinances or ot her restrictions appli cable to the Real Estate.
There is no jud gement of any cour t of t he Stat e of I ndiana or of any court of the United State that i s or may become a
lien on the R eal Estate. N o petition f or bankrup tcy has be en filed by o r against V endor with in the last six m onths, no r is an y
petition now pendi ng with respect to Vendor for bankr uptcy, insolvency or incompentency. Vendor is neither principal nor
suret y on any bond payable to the Stat e of Indiana.The Real Estate is now i n posses sion of ___________ _____________ _____________ _____________ ____________
as ______________________________ __________________________ _______and no other person has a right to pos session
or claims posses sion of all or any part of the Real Esta te.Vendor will del iver posse ssion of R eal E state to Purcha ser on or befo re __ ______ _______ _______ ______ _,
20________, free and cl ear of any r ight or clai m of any person t o the possessi on of the Real E state excep t
_______________________________Vendor has not e ntere d in to an y agr eement s wit h any one who woul d be enti tled to file a br oker' s lien unde r Indiana
Code 32 - 28 - 12.5 - 1 (et. seq.) except in connection wit h the sale of the Real Est ate andVendor is not a cting , di rect ly or ind irect ly , in any capacity w hatsoeve r for any fo reign coun try or nation al thereof,
