Homestead_Pollock H. PREPARER
Preparer of the Sales Disclosure Form Title
Gabriella VartAlstine Escrow Assistant
Company
Address(number and street,city.state.country,and ZIP Code)
520 Main Street, Suite 1, Jasper, IN 47546
I. SELLER(S)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
JoAnn G. Sims
Address(number and street) Address(number and street)
.-1 (.--1 c, C.7-tl ARA ULL Pil
City,State, and ZIP Code City,State,and ZIP Code
'one_ �Cam. \ '-`-z 64 Li J
Country Country14
' N OS
Email Address Email Address Telepl*ge Number
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belieT,Q4�fe,,��'rpct,and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and Intentionally 4f1,f alue of transform
real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony.
Signature of Seller J Signature of Seller Oil.
' ( ,'
Knted Name of Seller Dale Signed(mmldd/yyyy) Printed Name of Seller ' Date Signed(mm/d
JoAr)n G. Sims 12/29/2023
J. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
Buyer 1 -Name as it appears on conveyance document Buyer 2-Name as it appears on conveyance document
Eric J. Pollock Sarah L. Pollock
Address(number and street) Address(number and street)
`lE - (.1 t srz ( o4 cs
City,State,and ZIP Code City, State,and ZIP Code
-cR G-M1 ca s c o, IN g"1 L,W' s c ,,v
Country Country
Email Address
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
Vl� O 1.Will this property be the buyer's primary C O 3. Homestead
residence? O O 4. Solar Energy Heating or Cooling System
O ,/2. Does the buyer have a homestead to be vacated 0 0 5.Wnd Power Device
for this residence? If yes, provide address: 0 0 6. Hydroelectric Power Device
Address(number and street) O 12 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County rj 6,11_20 -2-00 — 000 . 6 I 0-DDA'
.
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