Homestead_Beadle (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Roman Ricker Partner
Preparer of the Sales Disclosure Form Title
219 N. Hart Street, PO Box 13 Partenheimer, Kinkle&Ricker
Address(Number and Street) Company
Princeton, IN 47670
mail
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Alvin L Koberstein Trust Dorothy M.Koberstein Trust
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
214 S Stormont Street 214 S.Stormont Street
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 Princeton, IN 47670
E-mail Telephone Number 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 complete as required y aw,and's prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller
Printed Name of L:tein. Successor Trustee 10/1/2020 Dorothy M. Koberstein,Trustee 10/1/
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Dorothy M.
Sign Date(MM/DD/YVYY) Signature of Seller
Printed Name of Seller ) 2.020
..... V ‘ ign ate(MM/DD/YYYY)
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rYler K. Beadle ) Sheila Kay Beadle
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveya e document r)
1ZICL t-
106 N Tennessee St. 208 S. Race Street
Address(Number and Street) Address(Number and Street) .
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Hazleton, IN 47640 Princeton, IN 47670 4
City,State,and ZIP Code City,State,and ZIP Code 40‘iv—\.)‘ANI k
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
Z El 1.Will this property be the buyer's primary Z 0 3.Homestead
residence? Provide complete address of primary 0 Z 4.Solar Energy Heating/Cooling System
residence,including county:
0 o 5.Wind Power Device
1101 Virgil Blvd
Address(Number and Street) 0 z 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson 0 Z 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
o z 8.Is this property a residential rental property?
0 Z 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide 0 0 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.)
Address(Number and Street)
7_
City,State ZIP Code County
. Primary property owner contact name E-mail ,-