Closing Documents Gary Larson 126th StreetCLOSING STATEMENT
Section 6045 of the Internal Revenue Code, as amended by the Tax Reform Act of 1986,
requires the reporting of certain information on every real estate transaction. The information
provided below, except for the tax identification number, is adequate information to provide to a
tax professional.
FEE OWNER: Gary Larson
ADDRESS: 231 E 126m Street, Carmel, IN 46032
DESCRIPTION OF PROPERTY: A part of Lot 1 in Auman's Addition in Hamilton County,
Indiana
PROJECT: 126`" Street Sidewalk & Drainage Improvements
PARCEL: 1 COUNTY: Hamilton
CLOSING DATE: 10/5/10
PURCHASE PRICE: $ 28,460.00
LAND AND/OR ADMINISTRATIVE SETTLEMENT: $ 4,000.00
IMPROVEMENTS: $17,100.00 DAMAGES: $ 7,360.00
Please be advised that no property taxes have been assumed by the City of Carmel in
connection with the purchase of the above -captioned property. Any applicable tax adjustment,
due to the above purchase by the City of Carmel, would be accomplished by the County
Assessor after the deed is recorded by the City or its agent. This is supposed to be done;
however, you should take the initiative to make this adjustment. The City of Carmel has no
authority to remove or change any taxes of. any nature.
1(we) certify that the above is true and correct and acknowledge receipt of payment.
Fee Owner
/o- 5-2oio
ignature Date
3417 Sherman Drive ■ Beech Grove. Indiana 46107 • Tel 317.780.1555 • Fax 317.780.6525
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CHECK AMOUNT T $28 460:00'
JCHECK NUMBER:',;t ?190359''?
CHECK DATE: 7 9/29/2010=°,
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TO VERIFY AUTHENTICITY, SEE REVERSE SIDE FOR DESCRIPTION OF THE 11 SECURITY FEATURES •
APPROVED BY
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CITY OF CARMEL;INDIANA
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CARMEL'INDIANA'946032
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