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155370 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 059500 Page 1 of 1 ONE CIVIC SQUARE J SCOTT AND LAURA W BURTON CARMEL, INDIANA 46032 CHECK AMOUNT: $3,500.00 3227 SMOKEY ROW RD CARMEL IN 46033 CHECK NUMBER: 155370 CHECK DATE: 1/10/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 R4460500 17789 3,500.00 RIGHT OF WAY {r APPROVED AS TO FORM Wa!' Project: Main Street and 4 Avenue Project No.: 05 -02 Parcel: 5 WARRANTY DEED THIS INDENTURE WITNESSETH THAT J. Scott Burton and Laura W. Burton (individually and collectively the "Grantor convey and warrant to the City of Carmel, Indiana (the "Grantee for the sum of Three Thousand Five Hundred and 00 /100 Dollars ($3,500.00) and other valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the following described real estate in Hamilton County, State of Indiana: See attached Exhibits A and B, which is attached hereto and incorporated herein. subject to any and all easements, agreements, restrictions and other matters of record. It is understood between the parties hereto, and their successors in title, and made a covenant herein which shall run with the land, that all real estate herein described (excepting any parcels or portions thereof that are specifically and expressly designated as easements or temporary rights of way) are conveyed in fee simple and not merely for right of way purposes, and that no reversionary rights whatsoever are intended to remain in the Grantor. [For an entity Grantor: The undersigned persons executing this deed represent and certify on behalf of the Grantor that he /she is a duly elected officer of the Grantor and has been fully empowered and authorized by proper resolution, or by the by -laws of the Grantor, to execute and deliver this deed; that the Grantor is a in good standing in the State of Indiana; that the Grantor has full corporate capacity to convey the real estate described; and that all necessary corporate action for the making of this conveyance has been duly taken.] IN WITNESS WHEREOF, Grantor has caused this Warranty Deed to be executed this Il of December 2007. GRANTOR: Printed: J. Scott Burton Printed: Laura W. Burton NOTARY CERTIFICATION STATE OF INDIANA SS: COUNTY OF) .`��.u. Before me the undersigned, a Notary Public in and for said County and State, personally appeared J. Scott Burton and Laura W. Burton, who acknowledged the execution of the foregoing Warranty Deed for and on behalf of such Grantor, and who, having been duly sworn, stated that the representations therein contained are true. WITNESS my hand and Notarial Seal thiV7 day of December, 2007. My Commission Expires: Q 92 a 2 6 Zo Notary Signature: County of Residence: Notary Printed Name: OuXe This instrument was prepared by Douglas C. Haney, Carmel City Attorney, City Hall, One Civic Square, Carmel, Indiana 46032 Send tax bills to: One Civic Square, Carmel, IN 46032 After recording, return deed to: Douglas C. Haney, Carmel City Attorney, City Hall, One Civic Square, Carmel, Indiana 46032 I affirm, under the penalties for_pedury, that I have taken reasonable care to redact each and every Social Security number from this document, unless it is required by law. Douglas C. Haney Project: Main Street and 4 Avenue Project No.: 05 -02 Parcel: 5 ACCEPTANCE OF ADMINISTRATIVE SETTLEMENT We, J. Scott Burton and Laura W. Burton, landowners of the property described in Exhibits A and B, which are attached hereto and incorporated herein by reference, hereby accept the administrative settlemen Three 17 "da Thousand Five Hundred and 00 /100 Dollars ($3,500.00), made by the City of Carmel, on this y of December 2007. GRANTOR: Printed: J. Scott Burton Printed: Laura W. Burton NOTARY CERTIFICATE STATE OF INDIANA SS: COUNTY OF Subscribed and sworn to before me by J. Scott Burton and Laura W. Burton this ►gay of December, 2007. My Commission Expires: Notary Signature: County of Residence: Notary Printed Name: 1 of 1 SALES DISCLOSURE FORM State Form 48021 (R617-08) PRIVACY NOTICE: The telephone P numbers of the parties on this form are ursuant i Department a Loran Government Finance confidential according to IC 6- 1.1 -5.5- PPursuantPursuant to IC 8 1.15.5 con 3(d). f rs Pan of Parcel Parcel Number(s) (Show additional parcels on separate sheet if necessary.) Acreage or Lot Size (sqn) J(aJ0JJJ�±] JJJJJJJJJJJJJJJJ J JJJJJJJJJJJJJJJJJJJJJJJJJ J 0 U11-1-1 1 1-1-1 JJ 1-1-1 JJJ J 0 Address 0 of Parcels 21 WEST MAr IN SrrzcE'r JJJ City, Town, or Post Office State ZIP Code u-q-m Lx-� 1 3 JJJJ Tax Billing Address (if other then property address) ONE CI v 1 L S p vAcfZE City, Town, or Post Office State ZIP Code Legal Description se-E7 ATFAC+1 e Inc H 1 TS B Identifyy all conditions /items that apply NOTE: If items 12 -21 apply, filers are not subject to disclosure filing fee. O 1 -Buyer Is an adjacent property owner O 12•Security Interest documents such as mortgages or bust deeds. O 2- Vacant Land O 13- Leases less than 90 years O 3- Exchange for other real property ('Trade O 14- Document resuMing from foreclosure, or express O 4-Seller Paid Points; amount If applicable threat of foreclosure, divorce court order, condemnation, FT probate or other judicial proceedings. O 8-Change planned In the primary use of the property? Describe In O 18-Agreements and other documents for special circumstances. mergers, consolidations, and Incorporations O 8- Existence of family or business relationship between buyer and seller O 16 -0ultelalm deeds not serving as a source of tMie O 7- Land Contract Dated: O 17- Documents Involving the partition of land between tenants In common, Joint tenants, or tenants by the O 8- Personal property Included In transfer, amount If applicable entirety. 18-T to a charity, not-for-profit or government Institution O 9- Significant physical changes to property between March 1 and date of sale O 19- Trensfer for no or discounted consideration, or gift O 10- Non Warranty deed; specify type O 20- Rerecording to correct prior recorded document O ill. Partial Interest Describe In special circumstances. 21- Easements, Rlghtof -way grants Contract Date (MM/DD/YYYY) Sales Price 1 $�,�3 500 Describe any unusual or special circumstances related to this sale, InGuding the speGflcatlon of any less- then complete ownership Interest and terns of seller financing. s 4 �E P�JR q-SC OF 2 15>_ovA f-F FWr of GWO Rl( HI 6H uloolY PoR Poses. SAL,E/ PU2.cMA-SC- U1AS A-0M I N I STKArTI VE SLT eNT: hill I PF INDIANA SALES DISCLOSURE FORM Page 2 Seller 1 Name or Entity as appears on deed J 5corn 3u Rro N A-No L v2A W. 15u 9-nN Address 3227 Sty me-E`( Role/ City. Town, or Post Office State ZIP Code 11 -+JJ-01JA-JJJJ Seller 2 Name or Entity as appears on deed Address City, Town, or Post Office State LP Code JJ JJJJJ -JJJJ Preparer Name and Address Preparer Phone JJJ-JJJ-JJJJ Buyer 1 Name or Entity as ap ears on deed C Ty O F C —l� a e-L Will this property be the vT Iu"1 buyers primary Address residence? oNE U VI L SQU)W E O Yes No City, Town, or Post Office State ZIP Code CAf-MeL- Buyer 2 Name or Entity as appears on deed Address City, Town, or Post Office State ZIP Code JJ JJJJJ -JJJJ 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 5- 1.1 -5.5, "Real Property Sales Disclosure Act". j Signature oL5ftr Signature of o er Sign Date Sign Date (MM/)DA YYY) I I 1 2 1 0 1 0 1 7 1 (MM L /)DNYYY) Seller Phone Buyer Phone _7j C OR TOWNSHIP AS County Assessor or other assessing offical must verify and complete the following Information: O Significant physical changes to property between March 1 and date of sale AUDITOR'S FILE STAMP AV LAND JJJ use code ssf W Taxing District (DLGF assigned) AV IMPV JJJ Completion O Yes O No Date Entered in Transfer Book AV TOTAL O valid sale [11 0:1 JJJJJJJJJJJJ NEIGHBORHOOD CODE EXHIBIT "A" A GRANT OF RIGHT OF WAY BEING A PART OF THE NORTHWEST QUARTER OF SECTION 25, TOWNSHIP 18 NORTH, RANGE 3 EAST OF THE SECOND PRINCIPAL MERIDIAN, HAMILTON COUNTY, INDIANA, AND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING at the Southeast Corner of said Northwest Quarter Section; Thence North 90 degrees 00 minutes 00 seconds West (ASSUMED BEARING) along the South line of said Quarter Section a distance of 773.00 feet to the PLACE OF BEGINNING also being the Southeast Corner of the property owned by J. Scott Laura W. Burton described in Instrument Number 9909900242 on file with the Hamilton County Recorder; Thence North 00 degrees 00 minutes 00 seconds East along the East line of said Instrument Number a distance of 30.00 feet; Thence North 90 degrees 00 minutes 00 seconds West a distance of 15.00 feet; Thence North 00 degrees 00 minutes 00 seconds East a distance of 5.00 feet;Thence North 90 degrees 00 minutes 00 seconds West a distance of 67.50 feet to the West line of said Instrument; Thence South 00 degrees 00 minutes 00 seconds West a distance of 35.00 feet to said South line of said Quarter Section; Thence South 90 degrees 00 minutes 00 seconds East, along said South line a distance of 82.50 feet to the PLACE OF BEGINNING. CONTAINING 0.0645 ACRES (2812.500 SQUARE FEET), more or less, and being subject to all legal easements, rights of way or restrictions of record or observable. 1, Trent E. Newport, a Registered Land Surveyor in the State of Indiana, do hereby certify that the above description was prepared by me on April 12, 2006 from the original deed record in the Office of the Recorder of Hamilton County, Indiana. PREPARED BY: E. Nfk, 6 I STEg P O TRENT E. NEWPORT No. 29600021 INDIANA LAND SURVEYOR NO. LS 29600021 STATE OF 1 AMA y p� tia S u it Transportation Development Consultants 3617& 9E "I' N 48W EXHIBIT "B RUff OF WAY GRANT N 90 °00'00" W 82.5' (18 rods 7 fee t) N 90 °00'00" W 15.00' Area Previously Conveyed to the City of Carmel per Instrument Number 199909948318 m r o .V L CD CO SCALE-Y -W N N O �i W cn Q CD J. J. SCOTT LAURA BURTON o0 °o W INSTRUMENT 0 0 0 0 0 0 3: NUMBER co z o 0 9909900242 0 0 0 HAT00 AREA IS THE o z APPRMWTE TAImJG FOR o RIGHT OF W AY GRANT p 0 26 pot w aeod tam fn w�eordlo dtb ad ar ad aae�y dndal by o W aawjr. N 00 °00'00" E 5.00' SOUTHEAST CORNER OF N 90'00'00"W THE NORTHWEST OUAR7ER 90 °00'00" W 15.00' SEC 25, T 18 N, R 3 E MINTY: HA RTON o n k N 00 °OO'OO" E SOUTH LINE I71p1 ADO:N /A S 00 00'00 W NORTHWEST SECTION: 25 35.00 e0o QUARTER SEC 25 TOW021 18 NORTH RANGE: 03 EAST ORAMi BY: ,DNS 04 -12-08 N 90 °00'00' W ASSUMED BEARING CHECKED BY: TEN 04 -12-08 8 rods 7 f eet) 773.00'(46 rods 14 feet) PREPARED BY: PLA OF BEGINNING •1 1 1 Transportation k Development ConsWtante 397 1 SNINA1 0 1_WS' N 007 Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by 11 g j da ra Wu r3 hr hour, number of units, price per unit, etc. Ugn Payee 3227 Smokey Row Road Purchase Order No. Carmel, IN 46033 Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/17/07 n/a PROJECT: Main Street 4th Avenue P arcel Total 03,500.00 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRA T NO. ALLOWED 20 322 :7 S lFe l ew sad IN SUM OF Carmel, IN 46033 $3 y ON ACCOUNT OF APPROPRIATION FOR Department of Engineering Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 17789 n/a 2 oaR4460500 $3,500.00 bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 20 a na e Cost distribution ledger classification if Title claim paid motor vehicle highway fund