Homestead_Naas (16) H. PREPARER
pneparernf the Sales Disclosure Form Title '
Sandra L. Hicks Attorney
Company
Address(number and street,city,state,country,and ZIP Code)
102N. Elm Street, Fort Branch, |N47G48
'
U. SELLER(S)/GRuNTOR(S)
Seller 1 -Name uuit appears on conveyance document sonerc-Namaouappaorsonuvnveyonnououumant
Brent K8.Wilcox Katrina L.Wilcox
Address(number and street) Address(number and street)
PO Box88Q PO 8ox68Q
6� *.
ouy.G�m.and ZIP Code cnuo��.and ZIP Code vw�,
Om/enoviUe. |N47OG5 Dvvunov�||e, IN '�u�r
^� ~'
Country Country
�
Gibson County USA Gibson County USA
Email Address
Under penalties of pedury,I hereby certify 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 IC 6-1.1-5.5.A person who knowingly andintentionally falsifies the value n,transferred
real property,or omits o,falsifies any information p,quimuu,unpnoviuuu.commits a Level sfelony.
oinnam�ofoe| ` ai ,eonor
Printed Name ofSeller Date Signed(mn/uu�yyv ' Printo am&��d�||ar vu~- oateoinneu( m )
Brent W4.VVi!onx �� /l���l�� Katrina L�VVi|cox l�`-/��--�/2f
'x o^ ''^-'-' , / / ' �` /
J. BuYER(s)/GRANTEE(S) —APPLICATION FOR PROPERTY l[AxDEDUCTIONS
Buyer 1-Name uoit appears on conveyance document auyorx-Namoaoitap ~plyalecum
'
Ca||iok8. Naas
-�-
Address(number and ot,voO Address(number and street) ��~
003 E 1200 S "c/' �
~ '�
� �vo'
City,State,and ZIP Code City,State,and ZIP Code ^*��
Haubotad1 |N 47830 �/P-
. uS
Country Country "mC v` 6e
b�-
Gibson County, USA '
Email Address
( )
Pursuant tu|oo-1.1',a-44.the Sales Disclosure Form may ueused to apply for certain deductions.Identify all n,those that apply:
YES NO oomo|T|om YES NO Como|T|mm
[a O '1 Will this property he the buyer's primary E 03.Homestead
residence? [] 2 4.Solar Energy Heating ur Cooling System
O B '2 Does the buyer have o homestead 1obevacated [] 25.Wind Power Device
for this residence? |f yes, provide address: [] [3 6. Hydroelectric Power Device
Address(number and street) [] 2 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County
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