Closing Documents Roger/Vicki Rollings - 106th Keystone to WestfieldCLOSING STATEMENT
CROSSROAD'
ENGINEERS, PE
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: Roger A. & Vicki L. Rollings
ADDRESS: 10599 Spring Hill Drive, Carmel, IN 46032
DESCRIPTION OF PROPERTY: A part of the Northwest Quarter of the Northwest Quarter
of Section 7, Township 17 North, Range 4 East, Hamilton
County, Indiana
PROJECT.. 106th Street — Keystone to Westfield
PARCEL: 6 COUNTY: Hamilton
CLOSING DATE: PURCHASE PRICE: $ 16,300.00
LAND AND/OR ADMINISTRATIVE SETTLEMENT: $ 2,000.00
IMPROVEMENTS: $6,900.00 DAMAGES: $ 7,400.00
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.
I (we) certify that the above is true and correct and acknowledge receipt of payment.
Fee Owners
1/4 4;;N-4)
Signature
Signature
3417 Sherman Drive • Beech Grove. Indiana 46107 • Tel 317.780.1555 • Fax 317•780•6525
CTStMES FORT WAVNE IN
,4 CORPORATE TRUST,SERVICES..
MAC/44612-033
111 E. WAYNE STREET, 3RD FLOOR
FORT WAYNE, IN 46802-2600
317-977-1160 612-316-0869
Account Number: Account Name:
XXXXXXXX0000 CARMEL WATERWORKS DEPO 2008
YELLSFARGOBANK`N i ' CHECK NO 26436976
-VOID 6 MONTHSAFTER'ISSUE DATE 9'-s16 >'
4990024247
® Sikteen Thousand Three Hundred and 00/100 Dollars
To the Order Of
ROGER A. AND VICKI L. ROLLINGS
REQ #33 -:RIGHT OF WAY
Date:
July 9, 2010
Amount
********$16,300.00
11'00 264 369 76P 1:09 2905 L681: 49900 21,213?"
Please detach check along perforation
CHECK NO: 26436976
Date:
CARMEL WATERWORKS DEPO 2008 July 9, 2010
Account Number: Account Name:
X00000(0000
Paid To:
.L.Authodzed:SiUnuluic`_.—:
ROGER A. AND VICKI L. ROLLINGS
For:
OTHER MISC DISBURSEMENT
REQ #33: RIGHT OF WAY
CTS CMES FORT WAYNE IN JO
CORPORATE TRUST SERVICES
MAC N8622-033
111 E. WAYNE STREET, 3RD FLOOR
FORT WAYNE; IN 46802-2600
317-977-1160 612-316-0869
ROGER A. AND VICKI L. ROLLINGS
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Principal Amount:
********$16,300.00
JO 000046 000025 01686
Check Number:
26436976
Account Number:
III
II
XXXX)00(X0000
******$16,300.00
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