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Homestead_Thomas (3) H. PREPARER Preparer of the Sales Disclosure Form Title Carla Waltman i ESCROW OFFICER Company , Address(number and street.city,state,country,and ZIP Code) 331 Franklin Street,Columbus,IN 47201 I. SELLERS)/GRANTOR(S) 1 Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document 310 BARNETT ST.,LLC,ERIC J.POLLOCK 310 BARNETT ST.,LLC,SARAH L.POLLOCK _ Address(number and street) Address(number and street) 1509 S SR 257 1509 S SR 257 City,state,and ZIP Code City,state,and ZIP Code VELPEN, IN 47590 i VELPEN,IN 47590 Country Country USA �USA E-mail address 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 and Intentionally falsifies the value of transferred real property,or omits or falsifies orm Ion required to be provided,commits a Level 5 fel Signature of Seller igr tyke of eller I Printed Name o ler I Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy) 310 BARNETT ST..LLC I03/04/2022 310 BARNETT ST.,LLC 03/04/2022 J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY Buyer 1-Name as it appears on conveyance document f Buyer 2-Name as it appears on conveyance document CALEB LEE THOMAS t Address(number and street) Address(number and street) 1223SCR900E City,state,and ZIP Code City,state,and ZIP Code VELPEN,IN 47590 MAR 1 6 2022 Country Country USA to apply for certain deductions.Identify all of those that apply: YES NO CONDITION YES NO CONDITION 1.Will this property be the buyer's primary 00 3.Homestead 0 Elresidence? ❑ ❑✓ 4.Solar Energy Heating or Cooling System 2.Does the buyer have a homestead to be vacated 0 E 5.Wind Power Device El ❑✓ for this residence?If yes,provide address: 0 0 6.Hydroelectric Power Device Address(number and street) ❑ LI T.Geothermal Energy Heating or Cooling Device City,state,and ZIP Code County ! a)0 -1g -3 ou- boo . 18 g -©O Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and beget,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 and Intentionally falsifies the value of _/