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Closing Documents - John/Jennifer Karesh - Shelborne at 116thCLOSING 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: John J. Karesh and Jennifer Karesh ADDRESS: 116`h St. & Shelborne Rd. RAB 35tS (.. I I(p`A 5t DESCRIPTION OF PROPERTY: A part Northwest Quarter of Section 5, Township 17 North, Range 3 East, Hamilton County, Indiana PROJECT: 05-06 (1l61h & Shelborne Roundabout) PARCEL: 3 CLOSING DATE: LAND AND/OR IMPROVEMENTS: $8,000.00 COUNTY: PURCHASE PRICE: Hamilton $ 8 000.00 ADMINISTRATIVE SETTLEMENT: $ 0.00 DAMAGES: $ 0.00 I (we) certify that the above is true and correct and acknowledge receipt of payment. Fee Owners a. U S�.•.� ure Date 2/7y/o7 Signature Date Ploaso roturn ono c py using tho oncl s d, stampcd, self addressed envelope. 3417 Sherman Drive s Beech Grove, Indiana 46107 is Tel 317.780.1555 ■ Fax 317.780.6525 Int UH WINAL DOCUMENT HAS A WHITE REFLECTIVE WATERMARK ON THE BACKt:'HOLD AT AN ANGLE TO"VIEW: DO NOT CASH IF NOT PRESENT.:..: SR. EGIONS'MORGAN' KEEGAN TRUST ;TRUST DEPARTMENTS P;0. BOX 830688 ' PARCEL' #3 PARCEL ID# BIRMINGHAM AL.35283-0688 PAYMENT TO -JOHN J AND JENNIFER KARESH FOR PAYMENT OF PARCEL #3 :CARMEL COIT 2006CF-CONSTRUCTION PAYMENT.REQUEST#8' ACCOUNT. NUMBER: 81-9528-06-8. !II OP PAY ■EIGHT THOUSAND DOLLARS AND ZERO CENTS ********** e156e "i CHECK NO.' ;5129981 ; TO THE JOHN J KARESH AND ORDER JENNIFER KARESK OF u■Si2998i11• 1:0620056901: 02/14/07 ****$8,000.00 CHECK VOID AFTER 6 MONTHS REGIONS BANK BIRMINGHAM, AL 03 0077 234811•