Homestead_BlumeINDIANA SALES DISCLOSURE FORD7 SDF ID: Pa e 2
�.D. PREPARER�: r' . .: � - . .. �, � . . . . t _ - , •. . ... . . . - - . . . �
Dan L. Reeves Attomev
�Preparer o/Ne Sales Diulosure Form TiUe
116 S Main Street Reeves & Cochren
Address(Numberand5trerq �ampony
Princeton. IN 47670
❑ry, Srnte, andZlPCode Te/ephone Xumber E-mail
�.E.SELLER S GRANTOR 5 - - - � � � �
Marion 8_ Koberstein Trustee Sonia Kay Ko6eretein TructPe
Seller ]- A'ame as appeors on ronve}anre drcvmenl Sef!¢r 2- Name as appears on maveyonre dorumen!
1006 Wilson Avenue 1006 Wilson Avenue
Addrets�NUmberandSvee[) Address(A'um6erondStrre[J
Princeton. IN 47670 Princetnn. IN 47670
CiN, Smte, andZlP lode Ciry.Smce. ond Z/PCade
E-moil
Under penalties of perjury, 1 hereby certi(y that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and mplete as required by law, and is prepared in accordance with IC 6-1.1-S.S, "Real Pr erty S�a gs Disclosure Act".
�� �c._. � . `� � "/Z�s t^tl�la. ����'!"Z�-t�J
Signonireo(Seller , P�-- Signaarreo(SAler
S� m,ar�ec�v A�'��-R5� r� �Y
�^� � SiOnDafe NM/DD ` Pnn[NNameo Seller Si nDaIeIMH/OD
YER S GRA E S- APPLICATION FOR PROPERTY TAX DED CTIO - ' FY ALL ITEMS THAT APPLY
St ve Blume Kath rine Blume
Buyerl-Name � mrsanmmxyanredxumen[ Bvyer2-Name ,,.eorsonronveyanredrcument
S 0W 1 69S380W
Addrecs (A'umber and Streetf Addrns (Num6erond Svee[J
Princeton. IN 47670 Princeton IN 47670
�
E-mail
TNE SALFS OISCLOSURE FOM1 MAY BE USEU TO APPLY FOR CERTAIN DEDURIONS FOR THIS PNOPERTY. IOENTIFY ALL OF THOSH THAT APPL7'.
YES h'0 COFDITION YFS 60 CO\�ITIOF
❑J ❑ 1. �Nill this property be the buyer's primary �✓ � 3. Homestead
residence? Provide complete address of primary � � 4, Solar Energy ' g/Cooling System
/ D � ^ � resideqce$, �i�ncl� ng munty:
�� J� ❑ �J S. Wind Power Device
�Addrea(Numberand5vee� ,/ n � �J 6. Hydroelec[ric Power Device
R I AJ CETD,c; �,r Y' �L � D (� ! BSO.� � � 7, Geo[hermal Energy Heabng/Cooling Device
Ciry.SmteZlPCade CounN
�� 2. Does the buyer have a homestead in Indiana [o be � ❑✓ 8. Is this property a residential rental property?
vacated for this residence? If yes, provide ❑ ❑✓ 9. Would you like to receive tax statements for this
comple[e address of residence being vacated, property via e-mail? (Provide conmct injormaiion
including county: below. Please see instruc[ions for more information.
Not available in al1 counties.)
Addrecs (NUmber and Svee[)
�,ry.5�uz,P��e �o��� a�-��-��,-tid� ooa.��5a-oaZ
Aimaryproperryownerronmctname E-mail
Under penalties of perjury, t hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correc[
and comple[e as required by law, and is prepared in accordance with IC 6•1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduc[ion is
bei �IedJ � �
Signamreo/Bvy�erl � SignaWreo(BUy�er2/Spou �
���J l.. ��� v�s i2 �z.� � � I �A�l L, ��s�ES f�lz, � I I
PnnredLegalNameo(BUyeN Sign re(!ua/DO/YYI'1} PnnledLegolNameoJBuver2/Spouse SignDale MA� pDDp'1')'YJ
��`
LastSdigiGSO�Buyer]Oriver's 5[ate LostSDigiGto/'Sotial5ecunryNum6er Las[Sdigi[so�Buyer7/SpouseDriver's Smte LasfSDigiGSO�SocialSecunry
License/ID/OrherNumber Number Lirense/lD/OtherNum6er