Homestead_Koberstein� SALES DISCLOSURE FORD1 SDF ID:
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Preparer
+5 S. Main Street
ress (Num6er and Stree[)
rinceton IN 47670
Ciry, SmtG and ZIP Code
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Seller 1- Name as aypmrs on conveyance documen[
Addres (Number andSVeet)
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Ciry, Smte, and ZIP Code
Title
Compony
(
E�mail
Seller 2- Name as appeors on conveyance dacument
:i804 E 50 N
Addrecc (Number and So-eetJ
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and ca��lete as required by law, and is prepared in accordance witt�if� 6-1.1-S.S, "Real Property Sales Disclosure Act".
Todd L. Koberstein
Buyer I- Name as aypevrs on mm�eyanre documen[
6853 S 50 W
Address (Number and Stree[)
�4ranch IN 47648
o/sene.
Buyer 2- Name as a➢Pears an conveyanre document
Address (Number and Stree[J
Ciry, Smte, andZlPCode
THE SALES DISCLOSURE FORhf Mpy gE USED TO APPLY FOR CERTAI,Y DEDUCfI0N5 FOR TH IS PROPERTY. IDEYTIiY ALL OF THOSE THAT APPLY.
✓� � 1. Will [his property be the buyer's primary
residence? Provide complete address of primary
residence, including county:
Address (Number and Street)
Ciry, Smte ZIP Code Counry
� Q✓ 2. Does lhe buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
induding county:
Addrrss (Num6er and StreetJ
City. Srute ZIPCade Counry
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❑✓
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� �✓ 9. Would you like to receive tax statements for this
property via e-mail? (Provide contact informotion
below. Please see instructions for more injormation.
Notavaila6/e in all counties r S g g u� a a
a� �9�� �U� -�o .�q �a.r
Primary property owner ronmct name E-mail
3. Homestead
4. Solar Energy Heating/Cooling System
5. Wind Power Device
6. Hydroelectric Power Device
7. Geothermal Energy Heating/Cooling Device
8. Is this property a residential rental property?
Under penalties of perjury, 1 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 wi[h IC 6-11-5.5, "Real Property Sales Disdosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Hom tead Deduction is
bei filed.) �(,�
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Las15 digiGS of Bu}•er 7 Onver's 5ta[e Las[ S DigiGr ofSociol5ecurity Num6er
License/lD/O[her Num6er
LastSdigiGSOfBuyer2/SpouseDriver's Smte Last50igitsofSacialSecuriry
Num6er Lirense/ID/OtherNum6er