158475 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: 361165 Page 1 of 1
ONE CIVIC SQUARE KENNETH J EDWARDSSON AND SARA H
CARMEL, INDIANA 46032 EDWARDSSON HECK AMOUNT: $34,821.00
2128 E 106TH STREET CHECK NUMBER: 158475
CARMEL IN 46032
CHECK DATE: 4/1512008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
920 R4470202 34,821.00 106TH /KEYSTONE R -O -W
i
I
Form YY ®9 Request for Taxpayer Give form to the
(Rev. October 2007) Identification Number and Certification requester. Do not
Department of the Treasury send to the IRS.
Internal Revenue Service
Name (as shown on your income tax return)
CM Kenneth J. Edwardsson
CL Business name, if different from above
C
0
M c Check appropriate box: F-1 Individual/Sole proprietor Corporation Partnership Exempt
P
>,:5 Limited liability company. Enter the tax classification (D= disregarded entity, C= corporation, P= partnership) payee
0 2 Other (see instructions)
c Address (number, street, and apt. or suite no.) Requester's name and address (optional)
CL 2128 E. 106th Street
City, state, and ZIP code
to Carmel, IN 46032
List account number(s) here (optional)
IM Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on Line 1 to avoid
backup withholding. For individuals, this is your social security number (SSN). However, for a resident
alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is
your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3. or
Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose Employer identification number
number to enter.
Certification
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and
2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal
Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has
notified me that I am no longer subject to backup withholding, and
3. 1 am a U.S. citizen or other U.S. person (defined below).
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup
withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply.
For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement
arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the Certification, but you must
provide your correct TIN. See th instructions on page 4.
Sign Signature of
Here U.S. person i Date �J
General Instructions Definition of a U.S. person. For federal tax purposes, you are
considered a U.S. person if you are:
Section references are to the Internal Revenue Code unless
otherwise noted. An individual who is a U.S. citizen or U.S. resident alien,
a A partnership, corporation, company, or association created or
Purpose of Form organized in the United States or under the laws of the United
A person who is required to file an information return with the States,
IRS must obtain your correct taxpayer identification number (TIN) An estate (other than a foreign estate), or
to report, for example, income paid to you, real estate A domestic trust (as defined in Regulations section
transactions, mortgage interest you paid, acquisition or 301.7701 -7).
abandonment of secured property, cancellation of debt, or Special rules for partnerships. Partnerships that conduct a
contributions you made to an IRA. trade or business in the United States are generally required to
Use Form W -9 only if you are a U.S. person (including a pay a withholding tax on any foreign partners' share of income
resident alien), to provide your correct TIN to the person from such business. Further, in certain cases where a Form W -9
requesting it (the requester) and, when applicable, to: has not been received, a partnership is required to presume that
1. Certify that the TIN you are giving is correct (or you are a partner is a foreign person, and pay the withholding tax.
waiting for a number to be issued), Therefore, if you are a U.S. person that is a partner in a
2. Certify that you are not subject to backup withholding, or partnership conducting a trade or business in the United States,
provide Form W -9 to the partnership to establish your U.S.
3. Claim exemption from backup withholding if you are a U.S. status and avoid withholding on your share of partnership
exempt payee. If applicable, you are also certifying that as a income.
U.S. person, your allocable share of any partnership income from The person who gives Form W -9 to the partnership for
a U.S. trade or business is not subject to the withholding tax on purposes of establishing its U.S. status and avoiding withholding
foreign partners' share of effectively connected income. on its allocable share of net income from the partnership
Note. If a requester gives you a form other than Form W -9 to conducting a trade or business in the United States is in the
request your TIN, you must use the requester's form if it is following cases:
substantially similar to this Form W -9. The U.S. owner of a disregarded entity and not the entity,
Cat. No. 10231X Form W -9 (Rev. 10 -2007)
Form W -9 (Rev. 10 -2007) ?age 2
The U.S. grantor or other owner of a grantor trust and not the 4. The IRS tells you that you are subject to backup
trust, and withholding because you did not report all your interest and
The U.S. trust (other than a grantor trust) and not the dividends on your tax return (for reportable interest and
beneficiaries of the trust. dividends only), or
Foreign person. If you are a foreign person, do not use Form 5. You do not certify to the requester that you are not subject
W -9. Instead, use the appropriate Form W -8 (see Publication to backup withholding under 4 above (for reportable interest and
515, Withholding of Tax on Nonresident Aliens and Foreign dividend accounts opened after 1983 only).
Entities). Certain payees and payments are exempt from backup
Nonresident alien who becomes a resident alien. Generally, withholding. See the instructions below and the separate
only a nonresident alien individual may use the terms of a tax Instructions for the Requester of Form W -9.
treaty to reduce or eliminate U.S. tax on certain types of income. Also see Special rules for partnerships on page 1.
However, most tax treaties contain a provision known as a Penalties
"saving clause." Exceptions specified in the saving clause may
permit an exemption from tax to continue for certain types of Failure to furnish TIN. If you fail to furnish your correct TIN to a
income even after the payee has otherwise become a U.S. requester, you are subject to a penalty of $50 for each such
resident alien for tax purposes. failure unless your failure is due to reasonable cause and not to
If you are a U.S. resident alien who is relying on an exception willful neglect.
contained in the saving clause of a tax treaty to claim an Civil penalty for false information with respect to
exemption from U.S. tax on certain types of income, you must withholding. If you make a false statement with no reasonable
attach a statement to Form W -9 that specifies the following five basis that results in no backup withholding, you are subject to a
items: $500 penalty.
1. The treaty country. Generally, this must be the same treaty Criminal penalty for falsifying information. Willfully falsifying
under which you claimed exemption from tax as a nonresident certifications or affirmations may subject you to criminal
alien. penalties including fines and /or imprisonment.
2. The treaty article addressing the income. Misuse of TINs. If the requester discloses or uses TINs in
3. The article number (or location) in the tax treaty that violation of federal law, the requester may be subject to civil and
contains the saving clause and its exceptions. criminal penalties.
4. The type and amount of income that qualifies for the
exemption from tax. Specific Instructions
5. Sufficient facts to justify the exemption from tax under the Name
terms of the treaty article.
Example. Article 20 of the U.S. -China income tax treaty allows If you are an individual, you must generally enter the name
an exemption from tax for scholarship income received by a shown on your income tax return. However, if you have changed
Chinese student temporarily present in the United States. Under your last name, for instance, due to marriage without informing
U.S. law, this student will become a resident alien for tax the Social Security Administration of the name change, enter
purposes if his or her stay in the United States exceeds 5 your first name, the last name shown on your social security
calendar years. However, paragraph 2 of the first Protocol to the card, and your new last name.
U.S. -China treaty (dated April 30, 1984) allows the provisions of If the account is in joint names, list first, and then circle, the
Article 20 to continue to apply even after the Chinese student name of the person or entity whose number you entered in Part I
becomes a resident alien of the United States. A Chinese of the form.
student who qualifies for this exception (under paragraph 2 of Sole proprietor. Enter your individual name as shown on your
the first protocol) and is relying on this exception to claim an income tax return on the "Name" line. You may enter your
exemption from tax on his or her scholarship or fellowship business, trade, or "doing business as (DBA)" name on the
income would attach to Form W -9 a statement that includes the "Business name" line.
information described above to support that exemption.
If you are a nonresident alien or a foreign entity not subject to Limited liability company (LLC). Check the "Limited liability
backup give re a company" box only and enter the appropriate code for the tax
p withholdin g, g' the requester the appropriate classification "D" for disregarded entity, "C" for corporation, "P"
completed Form W -8.
for partnership) in the space provided.
What is backup withholding? Persons making certain payments For a single- member LLC (including a foreign LLC with a
to you must under certain conditions withhold and pay to the domestic owner) that is disregarded as an entity separate from
IRS 28% of such payments. This is called "backup withholding." its owner under Regulations section 301.7701 -3, enter the
Payments that may be subject to backup withholding include owner's name on the "Name" line. Enter the LLC's name on the
interest, tax exempt interest, dividends, broker and barter "Business name" line.
exchange transactions, rents, royalties, nonemployee pay, and
certain payments from fishing boat operators. Real estate For an LLC classified as a partnership or a corporation, enter
transactions are not subject to backup withholding. the LLC's name on the "Name" line and any business, trade, or
You will not be subject to backup withholding on payments DBA name on the "Business name" line.
you receive if you give the requester your correct TIN, make the Other entities. Enter your business name as shown on required
proper certifications, and report all your taxable interest and federal tax documents on the "Name" line. This name should
dividends on your tax return. match the name shown on the charter or other legal document
creating the entity. You may enter any business, trade, or DBA
Payments you receive will be subject to backup name on the "Business name" line.
withholding if: Note. You are requested to check the appropriate box for your
1. You do not furnish your TIN to the requester, status (individual /sole proprietor, corporation, etc.).
2. You do not certify your TIN when required (see the Part II Exempt Payee
instructions on page 3 for details),
3. The IRS tells the requester that you furnished an incorrect If you are exempt from backup withholding, enter your name as
TIN, described above and check the appropriate box for your status,
then check the "Exempt payee" box in the line following the
business name, sign and date the form.
Y
Page 4 PROJECT 07 -08; Keystone Parkway PARCEL 22
If you decide to accept the offer of 30,001.00* made by the City of Carmel, sign your name
below and mail this form to the address indicated above. An additional copy of this offer has been
provided for your file.
ACCEPTANCE OF OFFER
I (We), Kenneth J. Edwardsson and Sarah H. Edwardsson
landowner(s) of the above described property or interest in property, hereby accept the offer of
$30,001.00* made by the City of Carmel on this 3 day of 2008.
Appraised Value: $30,001.00
Administrative Settlement: 4,820.00
Total: $34,821.00
Afff]A�
L
(Signature) (Signature)
Kenneth J. Edwardsson Sarah H. Edwardsson
(Printed Name) (Printed Name)
NOTARY'S CERTIFICATE
STATE OF
SS:
COUNTY OF
Subscribed and sworn to before me this rLt day of cA 2008.
My Commission Expires: j Dc-c_L
My County of Residence is:
,cam
(Signature)
(Printed) NOTARY PUBL C
MEMORANDUM
TO: City of Carmel
FROM: Elizabeth A. Sullivan, Acquisition Agent
RW S South, Inc.
5226 South East Street, Suite A -7
Indianapolis, IN 46227
DATE: February 29 1 2008
RE: Project: 07 -08; Keystone Parkway
Code: N/A
Parcel: 22
County: Hamilton
Owner(s): Kenneth J. Edwardsson
Sarah H. Edwardsson
SUBJECT: Recommendation for Administrative Settlement
The City's fair market value determination of 30,001.00 for 0.115 acres of permanent (fee simple) right -of-
way, land improvements, and severance damages was offered to the owner(s). During the negotiation
process, the property owner(s) rejected this offer stating that they should have an additional 4,820.00
The owners requested additional compensation based on their $7,420.00 landscape estimate, which was
indicated in the City's appraisal report.
We believe it is in the best interest of the City to settle this parcel for 34,821.00 This is an increase of
4,820.00 over the appraised amount, and we believe a great deal of time and money can be saved by
settling this parcel as opposed to acquiring it through condemnation.
Therefore, the City's acquisition agent is directed to offer 34,821.00 to the owner(s). Should they not
accept, then the additional 4,820.00 will be withdrawn and the 30,001.00 figure will remain the approved
amount.
THIS RECOMMENDATION APPROVED:
J
REV 29 ST4TEMN7`OF THEBASISFOR Jl1S` f �CO,FENATIO,N,*` Des NIA
07 -05
1. This is a written statement of, and summary of the basis for, the establishment of the amount believed to be, through a valuation
process, just compensation for the purchase of this right -of -way for highway purposes. The amount set forth in Item 5 below is not
less than the approved estimate of value. Public Law 91 -646 provides that this value disregards any decrease or increase in fair market
value of the property prior to the date of valuation caused by the public improvement for which the property is acquired other than physical
deterioration within reasonable control of the owner.
2. The legal description of this acquisition is set forth in the instrument of conveyance in the following identified parcel and this
acquisition is identified in the Acquiring Agency's records as:
Project 07 -08 Parcel 22 Road Keystone Parkway County Hamilton
Owner(s) Kenneth J. Sarah H. Edwardsson
3. The area and type of interest being acquired: 0.115 acres of Fee Simple Acquisition
The amount in Item 5 below includes payment for the purchase of all interests in the real property and no separately held interest is being
acquired separately in whole or part, except as may be explained in Item 8 below.
4. This acquisition is (Check one): a. A total acquisition of the real property.
b. A partial acquisition of the real properly.
5. The Agency's Offer: Just compensation has been determined to be and the Acquiring Agency's offer for the purchase of this real
property is as follows:
a. Total Land, Land Improvements and Buildings 14,351.00
b. Severance Damages (i.e.: Setback, Loss in
Value to the Residues, etc) 15,650.00
c. Other Damages (Itemize)
Cost -To -Cure estimates:
0.00
Temporary R/W 0.00
Total Damages 15,650.00
Total amount believed to be Just Compensation offered for this Acquisition is: 30,001.00
6. The amount in Item 5 above may include payment for the purchase of certain buildings and improvements and their ownership shall
pass to the Acquiring Agency. These buildings and improvements are identified as follows:
None
7. The amount in Item 5 above may include payment for the purchase of certain Land Improvements, Fixtures, Equipment, Machinery,
Signs, Etc., and their ownership shall pass to the Acquiring Agency. These items are identified as follows:
Asphalt drive, grass, landscaping.
8. Items owned by others (i.e.: lessee, tenants, etc.) included in Item 5 above are identified as follows:
None
9. Remarks: The Fee Simple Acquisit includes 0.020 acres of Presently Existing Right -of -Way.
Date Sig ature
Acquiring Agency:
EXHIBIT "B" SHEET 2 OF 2
RIGHT -OF -WAY PARCEL PLAT
Prepared For IThe City of Carmel
by: AMERICAN
STRUCTUREPOINT
INC
POINT REFERENCE CHART (Feet)
Point North E ast Station Offset
18
21
22
23 See Location Control Route Survey Plat
25
28
31
340 15308.1808 12891.0092 10 +00 0' PR -S -5 -E
341 15298.4553 13810.5079 19 +19.55 0' PR -S -5 -E
342 15390.2863 14016.0948 21 +44.72 0' PR -S -5 -E
343 15311.6324 14380.8194 25 +17.83 0' PR -S -5 -E
355 15350.8413 13109.5201 +PL(12 +18.05) PL(44.97') Lt. PR -S -5 -E
356 15348.1972 13359.5062 +PL(14 +68.05) PL(44.97') Lt, PR -S -5 -E
357 15363.1963 13359.6648 +PL(14 +68.05) 60' Lt. PR -S -5 -E
358 15360.7434 13591.5788 17 +00 55' Lt. S -5 -E
SURVEYOR'S STATEMENT
To the best of my knowledge and belief, this plat, together with the "Location Control Z
Route Survey" recorded as Inst. No. 200200088040 in the Office of the Recorder of s-:
Hamilton County, Indiana, incorporated and made a part hereof by reference, N®.
comprise a Route Survey executed in accordance with Indiana Administrative Code 20��
865 IAC 1 -12 "Rule 12
STATE OF
Tracy L. McGill Date
Reg. Land Surveyor No. LS20500009
State of Indiana
NOTE: STATIONS AND OFFSETS ARE TO CONTROL OVER NORTH AND EAST COORDINATES.
OWNER: Edwardsson, Kenneth J. et ux. DRAWN BY: JEM
PARCEL: 22 CHECKED BY: TLM
PROJECT: 07 -08
ROAD: Keystone Parkway
COUNTY: Hamilton
SECTION: 6
TOWNSHIP: 17 NORTH
RANGE: 4 EAST AMERICAN STRUCTUREPOINT, INC PROJECT N0. IN20030661
THIS PLAT WAS PREPARED FROM PUBLIC DOCUMENTS AND NOT CHECKED BY A FIELD SURVEY.
a 3186994522
MAR 21 2000 12
42 PM FR CHASE
prepared 1Syawcord awl P-tam to:
Prtpaicd py, YATHRYN MX
JFMa Clore
9-*_ )J A
Loan S4ri4ins
710 XW pu Lank L-2 107
ldmroaLA 71103
Tt1eVlwne 1Jbr: 1.WJq- n's6.56�6
SAT]SP.& OF MORTGAGE
"OW ALL MEN BY T14FSE PRESENT'S that OAAS£ DANK USA, N.A., 710 Rx"m Lane, LAa 7SM.
Momae to 71202 dots hemaby cmify jut d1c following mm pp is paid and does hereby c m-ut that tho same
be discharged of record.
kinr skm thud Aupd ;II, 2003, ma& by IONNETH 1 EDWARDSSON AND SARAH H, F.17WARUSSUN to
the order of CHAWR MANHATTAN BANK USA. N.A., the prweipal Sum of W,200.0V utd MAN" on
5epk mbri 11, 2003 YolumeBoolc UA PaP NIA Document 200300093620 in Mortgage Rounds of HAMILTON
"4 COUN1 Y cow", 9taw of laditma,
x:
WIMC9 my hand and seal on 03121/08.
C HASh 1sANK USA. N.A. P /KIA CHASE N ANH ATTAN DANK USA, N.A-
t 3 L GUll VIN
Vice.. Prmidcut m�
State of ra
;f
Pari wcountyofbUachita
Un Usr1JroA hrfrrJC rue, the und1liped, a N01"ry Publie, in and for said P"h/C11111y ad State, personalty
apltcand JhNiE 1. C:U> tw71�r rn the luwwu to be an Vtce Yrecidettr n .1,Ca tivcly. of CHASt BANK I I9A. N A. and
11knowledem] ate caccutian of the above and fumoittt Satisfaction of Mortgage for sad on bchslt of Said
r orporati
r
AMi' l MA r •�r
Lifetime Commission
NI VW y Public
1 affirm, under the penaltiev fix papery that I have taken reaaxublc can to redact
each Sva ial Saxitrity number to ttte 4""rh•,nt, tidies ragnirod bj, law. KATH COX
Min: Lone Nn.: 0042922M32070
kwat P6onh ifnpplicahte
va"r t taAS•fi79 6377 County of- HAMILTON COVMT
I L cg
Iqa J Na.: m (Juts nn naat: 03l2dp0
TOTAL PAGE 03 JK Jir
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
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Kenneth J. Edwardsson Sarah H. Edwardsson Purchase Order No. NA
2128 E. 106th Street Terms
Carmel IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/03/08 NA 07 -08 Keystone Parkway
106th Street Just Compensation Land Cost $30,001.00
Administrative Settlement $4,820.00
Parcel 22
Please forward this check to Jeremy Kashman
City of Carmel Engineers Office
Total $34,821.00
1 hereby certify that the attached invoice(s), or bills(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
y
VOUCHER NO. WARRANT NO.
Kenneth J. Edwardsson Sarah H. Edwardsson ALLOWED 20
2128 E. 106th Street IN THE SUM OF
Carmel IN 46032
I
34,821.00
ON ACCOUNT OF APPROPRIATION FOR
Kenneth J. Edwardsson Sarah H. Edwardsson
INVOICE NO. ACCT #/TITLE AMOUNT Board Members
DEP T. EP
NA NA 4470202 $34,821.00
I hereby certify that the attched invoice(s), or
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
April 14, 20 08
$34,821.00 Signature
Cost distribution ledger classification if Cit En
claim paid motor vehicle highway fund Title
REV -29 t STATEM�NTbF THE'BASIFOR JSTC0IPENSgT(N?, Des NIA
07 -05
1. This is a written statement of, and summary of the basis for, the establishment of the amount believed to be, through a valuation
process, just compensation for the purchase of this right -of -way for highway purposes. The amount set forth in Item 5 below is not
less than the approved estimate of value. Public Law 91 -646 provides that this value disregards any decrease or increase in fair market
value of the property prior to the date of valuation caused by the public improvement for which the property is acquired other than physical
deterioration within reasonable control of the owner.
2. The legal description of this acquisition is set forth in the instrument of conveyance in the following identified parcel and this
acquisition is identified in the Acquiring Agency's records as:
Project 07 -08 Parcel 22 Road Keystone Parkway County Hamilton
Owner(s) Kenneth J. Sarah H. Edwardsson
3. The area and type of interest being acquired: 0 acres of Fee Simple Acquisition
The amount in Item 5 below includes payment for the purchase of all interests in the real property and no separately held interest is being
acquired separately in whole or part, except as may be explained in Item 8 below.
4. This acquisition is (Check one): a. A total acquisition of the real properly.
b. A partial acquisition of the real properly.
5. The Agency's Offer: Just compensation has been determined to be and the Acquiring Agency's offer for the purchase of this real
property is as follows:
a. Total Land, Land Improvements and Buildings 14,351.00
b. Severance Damages (i.e.: Setback, Loss in
Value to the Residues, etc) 15,650.00
c. Other Damages (Itemize)
Cost -To -Cure estimates:
0.00
Temporary R/W 0.00
Total Damages 15,650.00
Total amount believed to be Just Compensation offered for this Acquisition is: 30,001.00
6. The amount in Item 5 above may include payment for the purchase of certain buildings and improvements and their ownership shall
pass to the Acquiring Agency. These buildings and improvements are identified as follows:
None
7. The amount in Item 5 above may include payment for the purchase of certain Land Improvements, Fixtures, Equipment, Machinery,
Signs, Etc., and their ownership shall pass to the Acquiring Agency. These items are identified as follows:
Asphalt drive grass, landscaping.
8. Items owned by others (i.e.: lessee, tenants, etc.) included in Item 5 above are identified as follows:
None
9. Remarks: The Fee Simple Acquisition includes 0.020 acres of Presently Existing Right -of -Way.
Dale Sig ature
Acquiring Agency:
CF -3 Code #3782
APPRAISAL REPORT
Value Findings Short Form Long Form
Partial Acquisition L1 Total Acquisition Pagel of 41
Type of Property Residential Project 07 -08
Indicate: (Residential, Commercial, Bareland, Farm, Special, Industrial)
Location E. 106 Street, just west of N. Keystone Avenue Parcel 22
Owner Kenneth J. Sarah H. Edwardsson Phone (317) 846 -5747 Road E. 106 Street
Address 2128 E. 106 Street, Carmel, Indiana County Hamilton
Tenant Contract Buyer Phone
Address
Land Areas: Before: 1.099 Gross Acres After: 0.984 Net Acres Acquisition 0.095 Acres
1.079 Net Acres
Temp. RM/ N/A Perpetual RM/ N/A PER 0.020 Acres Access Rights WA
CERTIFICATION OF APPRAISER
I hereby certify:
That I have personally observed of the property herein appraised and that I have personalty made a field inspection of the comparable sales relied upon in making said appraisal. The property being appraised and the comparable sales
were as represented or referenced within the appraisal.
That t o the best of my knowledge and belief the statements contained in the appraisal herein set forth are.true and the information upon which the opinions expressed herein are based is correct; subject to the limiting conditions set
forth.
That I understand that such appraisal MAY be used in connection with the acquisition of right-of -way for a project utilizing Federal funds.
That such appraisal has been made in conformity with appropriate laws, regulations, policies and procedures applicable to the appraisal of property for such purposes; and that to the best of my knowledge no portion of the value
assigned to such property consists of such items which are noncompensable under appropriate established law.
That this appraisal assignment may have called for less than would otherwise be required by the specific guidelines of the Uniform Standards of Professional Appraisal Practices (USPAP), but is not so limited in scope that it may tend
to mislead the users of the report, or the public.
That neither my employment nor my compensation for making this appraisal and report are in any way contingent upon he values reported herein.
That any decrease or increase in the fair market value of real property prior to the date of valuation caused by the public improvement for which said property is acquired, or by the likelihood that the property would be acquired for such
improvement, other than that due to physical deterioration within the reasonable control of the owner, was disregarded in determining the compensation for the property.
That the reported analyses, opinions, and conclusions are limited only by the reported assumptions and limiting conditions and are my personal, impartial, and unbiased professional analyses, opinions, and conclusions.
That I have no direct or indirect present or prospective interest in the property that is the subject of this report and no personal interest with respect to the parties involved or in any benefit from the acquisition of such property appraised.
That I have no bias with respect to any property that is the subject of this report or to the parties involved with this assignment.
That the owner or a designated representative was afforded the opportunity to accompany me on the property inspection.
That I have not revealed the findings and results of such appraisal to anyone other than the proper officials of the Acquiring Agency or officials of the Federal Highway Administration and I will not do so until authorized by said officials
or unfit I am required to do so by due process of law, or unfit I am released from this obligation by having publicly testified as to such findings.
That I have not given consideration, or included in my appraisal, any allowance for relocation assistance benefits.
That no one provided significant real property appraisal assistance to the person signing this report with the exception of those signing below.
That my opinion of fair market value for the property to be acquired and residue damages, if any, as of the 10th day of January 2008, which is the effective date of this appraisal is $30,001 based upon by
Independent appraisal and the exercise of my professional judgment.
SUMMARY PRIMARY APPRAISER
BEFORE VALUE 270,000
Signature
AFTER VALUE 239,999 Named Typed Erick Landeen, MAI
Appraisal License CG40400483
Land Taken 11,000 Broker
Existing Right -of -Way 1 Date: January 23, 2008
Land Improvements 3,350
ASSISTED BY
Improvements 0
Signature
Cost -to -Cure 0 Named Typ James R. Green
Appraisal License CG40600238
Damages to Residue 15,650 Broker
Date: January 23, 2008
Temporary RM/ 0
Signature
TOTAL DUE OWNER 30,001 Name Typed
Appraisal License
Broker
Form 25008 (Rev. 05) Date:
BOLOGNAING Real Fstate Counselors and Appraisers Page 1
i
PROJECT Keystone Parkway and 106thStreet #07 -08 Parcel 22
CF -3 Code: n/a
APPRAISAL REPORT
0 Value Finding Short Form Long Form
X Partial Acquisition Total Acquisition Page 1 of 58
Type of Property Residential (Homesite) Project #07 -08
Wcaie: Residential, commercial, Bareiwxi, Farm, Special, Industrial
Location 2128 East 106th Street, Carmel, IN 46032 Parcel 22
Owner Kenneth J Sarah H Edwardsson Phone 317 846 -5747 Road Keystone Parkway
Address 2128 East 106th Street, Carmel, IN 46032 County Hamiltion
Tenant
Contract Buyer Phone
Address
Land Areas:Before: 1.099 acres After 0,984 acres Acquisition 0.095 acres new
Temp. RfW acres Perpetual Easement acres PER 0.020 acres Access Rights n1a
CERTIFICATE OF APPRAISER
I certify that, to the best of my knowledge and belief:
That I have made a personal observation of the property that is the subject of this report and that I have made a personal field inspection of the
comparable sales relied upon in making said appraisal. The property being appraised and the comparable sales were as represented or referenced
within the appraisal.
That the statements of fact contained in the report are true and correct.
That I understand that such appraisal MAY be used in connection with the acquisition of right -of -way for a project utilizing Federal funds.
That such appraisal has been made in conformity with appropriate laws, regulations, policies and procedures applicable to the appraisal of property for
such purposes; and that to the best of my knowledge no portion of the value assigned to such property consists of such items which are
noncompensable under appropriate established law.
That this appraisal assignment may have called for less than would otherwise be required by the specific guidelines of the Uniform Standards of
Professional Appraisal Practices (USPAP), but is not so limited in scope that it may tend to mislead the users of the report, or the public.
That I have no bias with respect to the property that is the subject of this report or to the parties involved with this assignment.
That my engagement in this assignment was not contingent upon developing or reporting predetermined results.
That neither my employment nor my compensation for completing this assignment is not contingent upon the development or reporting of a
predetermined value or direction In value that favors the cause of the client, the amount of the value opinion, the attainment of a stipulated result, or the
occurrence of a subsequent event directly related to the intended use of this appraisal.
That any decrease or increase In the fair market value of real property prior to the date of valuation caused by the public improvement for which said
property Is acquired, or by the likelihood that the property would be acquired for such improvement, other than that due to physical deterioration within
the reasonable control of the owner, was disregarded in determining the compensation for the property.
That the reported analyses, opinions, and conclusions are limited only by the reported assumptions and limiting conditions and are my personal,
impartial, and unbiased professional analyses, opinions, and conclusions.
That I have no direct or Indirect present or prospective Interest in the property that Is the subject of this report and no personal interest with respect to the
parties Involved or in any benefit from the acquisition of such property appraised.
That the owner or a designated representative was afforded the opportunity to accompany me on the property inspection.
That I have not revealed the findings and results of such appraisal to anyone other than the proper officials of the Acquiring Agency or officials of the
Federal Highway Administration and I will not do so until authorized by said officials or until I am required to do so by due process of law, or until I am
released from this obligation by having publicly testified as to such findings.
That I have not given consideration, or included In my appraisal, any allowance for relocation assistance benefits.
That no one provided significant real property appraisal assistance to the person signing this report with the exception of those signing below.
That my opinion of fair market value for the property to be acquired and residue damage, If any, as of the 27' day of December 20 07 which is
the effective date of this appraisal is 43.170.00 based upon my independent appraisal and the exercise of my professional judgment.
SUMMARY PRIMARY APPR R
BEFORE VALUE 300,000.00 Signature:
Name Typed Dennis 0. Ono
AFTER VALUE 256,830.00 Appraisal License CR49600157
Broker IB58800198
Land Taken 8,555.00 Date: January 4, 2008
Land Improvements 3,765.00 ASSISTED BY
Signature
Improvements Name Typed:
Appraisal License
Cost-To-Cure 7,420.00 Broker
Date
Damages to Residue 23,430.00
Signature
Temporary R/W Name Typed:
Appraisal License
TOTAL DUE OWNER S 43,170.00 Broker
Form 25008 (Rev. 8106) Date
OA5 1 Land Acquitsition Group
Project: 07 -08; Keystone Parkway
Parcel: 22
WARRANTY DEED
THIS INDENTURE WITNESSETH THAT Kenneth J. Edwardsson and Sarah H. Edwardsson
(individually and collectively the "Grantor convey and warrant to the City of Carmel, Indiana (the
"Grantee for the sum of Thirty-four Thousand Eight Hundred Twenty -one and NO /00 Dollars 34,821.00
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 Exhibit A and B, which are 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.
IN WITNESS WHEREOF, Grantors have caused this Warranty Deed to be executed this -3 day of
ry)ay 2008.
Z G TORS: Kenneth J. Edwardsson and Sarah H. Edwardsson
Printed: Kenneth J. Edwardsson Printed: Sarah H. Edwardsson
Title: Title:
COPY
NOTARY CERTIFICATION
STATE OF
SS:
COUNTY OF Oir i o o
Before me the undersigned, a Notary Public in and for said County and State, personally appeared
Kenneth J. Edwardsson and Sarah H. Edwardsson
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 this 3 P c( day of 4N1C1.-r'c�k 2008.
My Commission Expires: Y
County of Residence: dVA G
Notary Signat e n
Notary Printed Name
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, Cannel City Attorney, City Hall, One Civic Square, Carmel,
Indiana 46032
I affirm, under the penalties for perjury, that I have taken reasonable care to redact each and every Social
Security number from this document, unless it is required by law.
8314640
2
EXHIBIT "A"
Project: 07 -08 Sheet 1 of 1
Parcel 22 Fee Simple
A part of the West Half of the Southeast Quarter of Section 6, Township 17 North, Range 4
East, Hamilton County, Indiana, and being that part of the grantor's land lying within the
right -of -way lines depicted on the attached Right of Way Parcel Plat, marked EXHIBIT "B
described as follows: Beginning at a point on the south line of said half quarter section South
89 degrees 23 minutes 38 seconds East 535.45 feet from the southwest corner of said half-
quarter section and the point of beginning of this description: thence North 0 degrees 36
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minutes 22 seconds East 40.00 feet along the west line of said grantor's land; thence South 89
degrees 23 minutes 38 seconds East 125.00 feet to the east line of said grantor's land
designated as point "356" on said plat; thence South 0 degrees 36 minutes 22 seconds West
40.00 feet along the east line of said grantor's land to the south line of said half- quarter
section; thence North 89 degrees 23 minutes 38 seconds West 125.00 feet along said south
line to the point of beginning and containing 0.115 acres, more or less, inclusive of the
presently right -of -way, which contains 0.020 acres, more or less.
This description was prepared for the City of Carmel, Indiana by Tracy L. McGill, Indiana
Registered Land Surveyor, License Number LS20500009, on the 26 day of December, 2007.
No.
.20500009:
EXHIBIT "B" SHEET 1 OF 2
RIGHT-OF-WAY PARCEL PLAT
Prepared For The City of Carmel 0 100 200'
by: AMERICAN
SCALE: CALE: 1"=200
I NC.
6 5
6 5
28
31
450+
ca i
0
Jordan Woods 445+0
Second Section
Plot Book 2, Page 228
LOT 49
V)
LOT 48 x
Li 3:
LOT 47
:2
L q r
CD C ai
of V)
x
342
�355 R/W
357 D56 Line *P R S-5-r- 343
S�
R/W 0
E A IING R/W
6 440+ 00 6 5
TF
7 7 4 125 Line "S-5- 7 8
340 0
0 t 0 23 106th Street 341
21 22 it)
CV
25
18
HATCHED AREA IS THE APPROXIMATE TAKING
OWNER: Edwardsson, Kenneth J. et ux. DRAWN BY: JEM
PARCEL: 22 CHECKED BY: TLM
PROJECT: 07-08
ROAD: Keystone Parkway INSTRUMENT NUMBER 9011012, DATED MARCH 29, 1990
COUNTY: Hamilton INSTRUMENT NUMBER 9322677, DATED APRIL 12, 1993
SECTION: 6
TOWNSHIP: 17 NORTH
RANGE: 4 EAST
THIS PLAT WAS PREPARED FROM PUBLIC DOCUMENTS AND NOT CHECKED BY A FIELD SURVEY.