Homestead_Kiefer ^ .
B. PREPARER
Preparer of the Sales Disclosure Form Title
Pamela Padenhe|morMick Attorney
Company
Address(number and street,city,state,country,and ZIP Code) �
219 N Hart St, PC) Box 13. Princeton, IN 47670
X. SELLER(S)/GRANTOR(S)
Seller 1-Name uox appears on conveyance document ea/{oru-wameaoapneomvncunvoyunoeuooument
Keith A. Spocht LeonnaR. Speuht
Address(number and street) Address(number and street)
1532S Madison Ave 1532S Madison Ave
City,state,and ZIP Code City,state,and ZIP Code -
Princeton, |N4707U Princeton, IN 47670
Country Country
gibann giboon
rinted Name �11' 'e__e—�Date signed(mmld&yyyy) Prinyd Name of Seller L Date signed(mm/ddtyyyy)
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J. BUYER(s)/GRANTEE(S)-APPLICATION FOR PROPERTY TAx DEDUCTIONS-IDENTIFY ALL THAT APPLY
au'e,I-wumeannappeamoncunvevanoeuuoument ouvn,o-wom*usitonnoamonoonvavenooxocument
Patricia A. Kiefer
Address(number and street) Address(number and street)
3O4S Race St /r
City,state,and ZIP Code City,state,and ZIP Code
Princeton, \N47G7O
�nCountry �nCountry "�/n�f
YES NO nomomom
1 Will E] [] �. Homa�eod
E� O ' -
residence? O @ 4.Solar Energy Heating urCoo|iPg�s_ystem
�a� 2 Does the buyer have a homestead tobevacated 063 6.V�nd Power Device
O ,� '
forthis residence?|f yes,provide address: [] E§ G.Hydme|eotho Power Device
Address(number and street) [] 0 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county %-tl-
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Under penalties n,perjury,|hereby certify that this Sales Disclosure,to the best o,mv knowledge and belief,/s true,correct and complete
as required by law,and Is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of
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