Homestead_Key (7)I�DU\ASALESDISCLOSUREFORM SDFID SDOID 1394526 ' , pas�2
.:D:P.REPARER ��;J =��j �, �.s _ r�' _� �.�rt.:{'`.w ' ;�.i,.3 �_``.: _� x .' - - r,. �* `;:.��
KimberlyA. Levris Office Manager
Prcyare�ofNeSolesO"uclosureForm 77Ue
226 W. Broadvray Bmadway Title, Inc.
Addresz(NumDerondStreee) Componv
Princetan, IN 47670-
Ciry, Smtg andZfPCoEe Telephone Number E-mail
- E; SECGER S � GRi1NTOR� S � . � }`r�� . _;�,�T.�:a'. c`. • 'i:`-�,_'�'_S , <- ,: -Td.�., .�.3 "• � 1 :.. � �ti ' "'�'''_:v�
James David Key
Seller 1- Nume os eppeurs on romryvnce dxumrnt Se11erZ - Nome us appevrsan mrtrryvnce Javment
4375 N Old US HWY. 41
Addrcss/A1rr..berand5aeet) Address(Nuniberand5treer)
Patoka.IN 47666-
pry.5m[q andTlPCode Ciry; Smre, and Z!P Code
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Under penalries of perjury, 1 hereby cer[ify tha[ this Sales Disdosure, [o [he best of my knowledge and belief, is true, correct
and comple[e as require by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Proper[y Sales Disdosure Act".
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. gnamre o(Selle� / J / Signomre o/Seller
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F:.BUYER S' GRANTEE S.-�APPGI ATION.FOR PRO?ERT.YTAX'DEDUCTIONS-;IDENTIF,Y:ALG ITEM5THAT.APP.GY::
Jamie Lynn Key
Buyo 1� Name as appevrs on canve�vnce dncument Buyer? -,4ame as appmrsan rnnveyonte document
1571 N 100 W
Add�m'(Num6erandS(rettJ Address(KUmberundShre�j
Princeton, IN 47670-
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7e! hnnef.'umber E-mail iNe MneNUm6er E-mail
THE SAI.ES DISCLOSURE FORM h1AY BE USED TO APPLY FOP CERTAIY DEDURIOVS FOR TNIS PROPERIY. IDE�TIFY ALL OF THOSE THAT APPLY.
1'FS NO COM1DITION PFS p0 CDYDITIOY
�X � 1. Will this property be the buyer's primary �X � 3. Homestead
residence? Provide complete address of primary � � 4. So1ar Energy Heating/Cooling System
residence,includingcounty: ❑ �
7577 N �00 W 5. Wind Power Device
Ade.ess�A'umberand5trre.y ❑ Q 6. Hydroelectric Power Device
Pnnceton, IN a7670 GIBSON � � y, Geochermal Energy Hea[ing/Cooling Device
Ciry.5mce21PCoAe Lavnry
�� 2. Does the buyer have a homestead i�� Indiana ro be � � 8. Is this property a residen[ial rental property?
vacated for this residence? If yes, provide ❑ Q 9. Would you like m receive tax statements for [his
comp�e[e address oFresidence heing vacated, property via e-mail? (Provide contoct information
including county: befow. Please see instructions for more in%rmation.
Not uvarla6le in uN mun[ies.)
Addrezs (A'umber arASVrrtJ n
Ciry,SluteZlPCade lavnry �G- ey-,36-3� 00� i J `7 ���oZ �
Pnmarypmpanymvnermnmr[nome E-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and comple[e as required by law, and is prepared in acmrdante wi[h IC 64.1•5.5, "Real Property Sales Disclosure Act". (Note:
Spouse informa[ion, Social Security and Driver's License/O[her numhers are not necessary if no Homestead Deduc[ion is
being fled.J
S' mreafBuyerl '� Signvmreo%BUyrR/Spouse
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License/ID/OtherNUmber NumCer Llcense/ID/OCherNum6er
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