Homestead_KeilI\DIA\p$,�LES DISCLOSURE FOR>I
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Samantha Cuisinger
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226 W. Broad�vay Broadway Ttle, Inc.
Add�es. (a��m�� a�e w.�m7 Compon}�
Princeton,IN47670- _
E.SELLER S /GRANTOR S
Keith A. Spechi Leonna R Specht
Srller ]- Kume vs npyeun on m�rve�vnee Jm'ument Sr!!er! � Nume ni nppeva m romiryvn�e dxumrnr
7532 5. Madison Ave 1532 S. Matlison Ave
AGtiress (Numher ond SoreQ AdErrss (NVmber and5:ree[]
Princeton, IN 47674 Princeton, IN 47670.
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Under pe alties of per'un�, 1 hereby c r[ify tha[ this Sales Disclosure, to the best o(my knowledge and belief, is We, correct
and 6 pl re r�by law, a� is rep�ared in accordance wit IG�6-1.1-5.5.%Rea Property �ales Disclosure AcC.
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.BUYERS rGRAN EES -APPLICATIONFORPROPERTYTAXDEDUCTIONS-IDENTIFYALLITEMSTHATAPPLY
Jeftrey D Keil
��a �-.,appeorsamm�veymreCnrumen: BuyerZ�Nameosnpyevrsomm�vevnncedaument
708 S Stormon� S�.
ddnress (h'umher and Sux[) AECrrss (,YUmbrr pnd S�rrr��
Princeton, IN a7670-
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TME SALES DISCLOSURE FORy� piqy gE USED TO APPLy ppR CERTAIN DEDURIONS FOR THIS PROPERTY. IDEATIFI' ALL OF THOSE THAT dPPLI'.
YES VO COYDITION 1'ES NO CO,tloITION
X❑ ❑ 1. 4Yi11 [his property be che buyer's primary �X � 3. Homestead
residence? Provide complete address of primary � � 4, Solar 8nergy lieacing/Cooling System
residence, induding county:
618 W. CLEVELANDAVE ❑ Q 5. Wind Power Device
Addren(NUmAerand5trce[J ❑ Q 6. Hydroelectric Power Device
Princeton, IN a7670 GIBSON � � 7, Geothermal F.nergy Heatlng/Cooling Device
Ciry. Smce ZIP CoCe Counry
�� 2. Does the buyer have a homestead in Indiana ro be � � 8. Is this property a residential rental property?
vacated for this residence? IPyes, provide ❑ Q 9. 4VOUld you like ro receive tax sta[emens for this
complete address of residence being vacated, property via e-mail? (Provide conmct informotion
induding county: below. Please see instructions jor more information.
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Under penalties o(perjury, I hereby certify that this Sales Disclosure, to [he best o(my knoµ�ledge and belief, is true, correct
and complete as required by laH•, and is prepared in accordance with IC 6-1.1-5.5,'Real Proper[y Sales Disclosure Ac[". (Note:
Spouse information, Social Security and Driver's License/Other numbers are no[ necessary if no Homestead Deductlon is
being �Ied.)
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