Homestead_Mitchell INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
(,writ Zar I(. Es'cvtint
Preparer of the Sales Disclosure Form Title
662 Woodward Ave • Title Source Inc
Address(Number and Street) Company
Detroit, MI 48226 313- 33 Y-030
City.State.and ZIP Code Telephone Number E-mail
Ei SELLER(S)/GRANTOR(S). ,'� �, Lit
Brian D Beasley
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1818 Elmendore Ave
Address(Number and Street) Address(Number and Street)
Under penalties of perjury,I hereby certify that 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,"Real Property Sales Disclosure Act".
•
Signature n •e ler Signature of Seller
P-clb-SEA 514-Ls
Printed Name o Seller Sign Date BA /OD/ Printed Name of Seller Sign Date(MM/oo/rm1
F�BUYER(S)/GRANTEE(S)=-APPLICATION.FOR PROPERTY TAX DEDUCTIONS?IDENTIFY ALL ITEMS THAT APPLY '_-
Aaron R. Mitchell
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
409 Spruce Street
Address(Number and Street) Address(Number and Street)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
12 ❑ 1.Will this property be the buyer's primary V ❑ 3. Homestea
residence? Provide complete address of primary ❑ ❑ 4.Solar Energy Heating/Cooling System
residence,including county: ❑ ❑ 5.Wind Power D44)W 1 "4 2015
1894 S I akewood Cir
Address(Number and Street) ❑ ❑ 6.Hydroelectric Power Device
Francisco, IN 47649 Gibson ❑ ❑ 7.Geothermal E•• ., : • e o mg Device
City.State ZIP Code County "0• -VeryriYs
❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ ❑ 8.Is this ISP113p1•1 -:'" -'�{It�1�operty?
vacated for this residence? If yes,provide ❑ ❑ 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) �pt
City,State ZIP Code County : t4KVA �R. ikkI a '^ ei2
Primary property owner contact name E-mail