Closing Documents Delello, Jeffrey/Lois - Shelborne Road ProjectCROSSROAD
ENGINEERS, PC
CLOSING 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.
EASEMENT OWNER: C. Jeffrey Delello & Lois A Delello
ADDRESS: 12550 Shelbome Road, Carmel, IN 46032
DESCRIPTION OF PROPERTY: A part of the S % of the SE 4 of Section 30, Township 18
North, Range 3 East, Hamilton County, Indiana
PROJECT: 06-21 (Shelborne Rd — 116th to 131st)
PARCEL: 14 COUNTY: Hamilton
CLOSING DATE: PURCHASE PRICE: $1080.00
LAND AND/OR ADMINISTRATIVE SETTLEMENT: $ 0.00
IMPROVEMENTS: $1080.00 DAMAGES: $ 0.00
I (we) certify that the above is true/andLcorrect and acknowledge receipt of payment.
Fee Owners af Q . & .�:C.�,.�/T 0/22-109
Signature Date
Signature Date
3417 Sherman flrive • Beech Grove, Indiana 4b107 ■ Tel 317.780.1555 • Fax 317.780.6525