Homestead_Washburn INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D. PREPARER - - -
J.Robert Kinkle Attorney
Prepare,of the Sales Disclosure Form Title
219 N. Hart St., P.O. Box 13 Partenheimer, Kinkle& Ricker
Address(Number and Street) Company
Princeton. IN 47670 812-386-0050 jrkinkle @hpk-Iaw.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLERS)/GRANTOR(S) - - - . . -
Alvin L Koberstein Primary Trust Agreement dated May 11 1990 i -. ...- -'r •i u-• :. --u-r •- -. u- ••
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
214 S Stormont Street 231 S Washington Street
Address(Number and Street) Address(Number and Street)
Princeton IN 47670 Princeton IN 47670
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required by law,and is prepared in accordance with 1l'6-1.1-5.5,"Real l'operty Sales Disclosure Act".
x.� �./L.dGC.L�L<-cC/isv A �/ ' ./ / AX f c
S nature of Seller /Si;ature of Seller
llornthy M KntX tein Co-Trustee 9/26/2018 Teresa Dove Co-Trustee 2/260 018
Printed Name of3eeller Sian Date(MM/DD/YYYY) Printed Name of Seller
1171 7--}� 1 Syi n Date(MM/aa/m'Y)
F.BWFUrcANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL IT H$445 ram,APP,14' p 1
(Courtn- s-.J_J
/ Courtn- N Washbu
1 •s a•pears on m, •-•nee document Buyer 2-Name as appears on conveyance document
2921 S.675 w. FEB 2 7 2018
Address(Number and Street) Address(Number and Street)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION
Q ❑ 1.Will this property be the buyer's primary [ ❑ 3.Homestead
residence? Provide complete address of primary • 12 4.Solar Energy Heating/Cooling System
residence,including county: ❑
S.Wind Power Device
811 S Seminary Street
Address(Number and Street) ❑ ❑ 6.Hydroelectric Power Device
Princeton,IN 47670 Gibson ❑ [ 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ � 2. Does the buyer have a homestead in Indiana to be ❑ 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ Z 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below. Please see instructions for more information.
Not available in all counties.) f�
Address(Number and Street) .A4 -/d -/8-aot -oo3, $69 -o )`.+
Courtney L.Washburn
City,State ZIP Cade County
Primary property owner contact name E-mail