Homestead_Hicksr
INDWNA SALES DISCLOSURE FORM
Prepa`a of fhe Sala Okdosurc Form
120 S. Main Street
AdCfm (NCm�v and Strre[J
Princeton, IN 47670
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Brent A W rhington
Selfc I- Name ax appeurs on ron yana dacumen�
1682 N 450 E
Asdiea (NUmCv vrtd Strse[)
Princeton, IN 47670
Under penalties of perjury, 1 hereby certify that [his Sales Disdosure, to [he best of my Imowled e and belief, is true, correa
and complete as re uired by law, and is prepared in accordaote .v�th C{, bl.l-S.S, "Re Pro Sales Disdosure Ad".
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Bvyr I� Neme as aypmrs m mnveyantt dacvmm[
70i lc Strn f
Addr� (Num5� end Scem)
Franricro TN 47649
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� ❑ i. Will chis property be che b�yer's primary
residence? Provide complete address of primary
resid ce, induding county:
ao�c.�����
aAddress (Numcv and Street)
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bry, Smte LPCOde Lounry
❑ � 2. Does che buyer have a homestead in Indiana to be
vaca[ed for this residence? Ifyes, provide
complete address of residence being vacated.
includingcounty:
ACdrm (Numbc and Street)
Gty, Sv¢ LP Cade Comry
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3. Homestead �
4. Solar Energy Hea�ng/Cooling System
5. Wind Power Device
6. Hydroeleca�ic Power Device
7. Geotheanal Energy Heating/Cooling Device -
S. !s [his property a residendal rental properry?
9. Would you like [o receive tax sta[emenCS for Utis
properry via e-mail? (Provide contact information
below. Please see insbvc[ions%r more information.
Not available in a(1 cauntles.)
i r ��.)vmperymmvcyomaname E-ma71
Under penalbes of perjury, I hereby cerafy thai this Sales Disdosure, [o the bes[ of my kmowledge and belief, is true, correc[
and comple[e as required by law, and is prepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disciosure Act". (Note:
Spouse information, Social5ecurity and Driver's License/Other aumbe re not necessary if no H e{te d eduction is
beingfiled.� �.C/� ��
Sgnaarro(Bvyerl A S'gnam(eoJBuYQ�/Spovse/\ .
Rick Hicks // -..2 -/ 02 Dana Hicks 7� ��