P23 Carmel CHurch SBCINSTRUCTIONS:
CLOSING STATEMENT
Sign all copies.
Keep one copy for your records.
Return two copies in the enclosed stamped retum envelope.
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
fax professional._
FEE OWNER: Carmel Church, SBC, Inc.
ADDRESS: 2240 E. 106"' Street
DESCRIPTION OF PROPERTY: Part of the W Y2 of the SE of S6- T17N -R4E, Hamilton
County, Indiana
PROJECT: Keystone Parkway
PARCEL: 23 COUNTY: Hamilton
PURCHASE PRICE: $62,423.00
.ADMINISTRATIVE SETTLEMENT: -0-
IMPROVEMEN $61, 654.00 DAMAGES: $769.00
LAND AND /OR
1 (we) certify that the above is true and correct and acknowledge receipt of a check in the
amount of $32,423. (we) also acknowledge that a check in the amount of $30,000 is being
paid directly to North American Mission Board for a partial mortgage release.
Fee Owner(s) C�/ 0
i:nature
Date
Signature Date
PROJECT 07 -08; Keystone Parkway
NAME ADDRESS OF OWNER Carmel Church, SBC, Inc.
2240 106 Street East, Carmel, IN 46032
NAME ADDRESS OF PERSON CONTACTED Elder Gary Secrest
2240 106 Street East, Carmel, IN 46032
BUYER'S REPORT (1)
(List other interested parties on reverse side including nature of their interest)
1. YES Checked Abstract with owner?
2. N/A Any affidavits taken?
3. YES Any mortgage(s)?
4. N/A Any other liens, judgments, etc.?
5. N/A Showed plans? Explained take?
6. N/A Explained about retentions?
7. N/A Any major item retained?
8. N/A Any minor item retained?
9. N/A Walked over property?
10. N/A Arranged for owner to pay taxes?
11. N/A Secured Right -of -Entry?
12. N/A Secured Driveway Right -of -Entry?
CITY OF CARMEL
PARCEL 23 COUNTY Hamilton CODE N/A
PHONE 317.818.9191
PHONE
317.796.8832 (cell)
DATE ASSIGNED 1/21/08 DATE OF CONTACT 1/24/08 TIME OF CONTACT 1:00 pm
OFFER 62,423.00 TYPE OF CONTACT: PERSONAL VISIT, (X) TELEPHONE CALL, (X) MAIL
Write: YES, NO or N/A (for Not Applicable), as appropriate, in each numbered blank space:
13. N/A Sent Daily Notice to Relocation Section?
14. NO Secured W -9 Form?
LEFT FOLLOWING PAPERS WITH OWNERS:
15. YES Written Offer?
16. YES Land Acquisition Brochure?
17. N/A Retention Letter?
18. YES Statement of Just Compensation?
19. N/A Tax memo (interim period)?
20. NO Receipt of Conveyance Instrument?
21. YES Copy of Conveyance Instrument?
22. YES Owner's Appraisal Letter?
23. N/A Brochure, "Relocation You
REMARKS: I contacted Gary Secrest as directed within the appraisal report and explained that I am assisting
the City of Carmel with the road improvement project at 106 Street and Keystone Parkway. When given the
option to meet in person for the presentation of the offer or having it mailed via "Certified Mail Mr. Secrest
preferred the packet be mailed and they would call subsequent to its review with questions. He provided an
alternate mailing address for mailing purposes. The offer packet was mailed via "Certified" mail, return receipt
requested, on January 24, 2008, with a date of delivery on January 26, 2008. Included in the packet were the
following forms /documents: an introductory letter, the brochure, "ACQUISITION, Acquiring Real Property for
Federal and Federal -Aid Programs and Projects the Confirmation of Receipt of the Acquisition Brochure, the
Confirmation of Opportunity to Accompany Appraiser on Inspection, the Statement of the Basis for Just
Compensation, (2) Appraisal Reports, the Uniform Property or Easement Acquisition Offer letter, the Warranty
Deed with Exhibits "A" and "B the Sales Disclosure Form, the Accounts Payable Voucher, the Request for
Taxpayer Identification Number and Certification (Form W -9), the "Owner's Private Appraisal Letter and the
Status of Parcel: Secured, Condemned, -Other (Explain)
Distribution Made:
(X) Parcel Attorney
(X) Owner Other (Specify)
Weekly Summary
State Form 2601 (R2/3 -91)
Page 1 of 1
State Form 20625 (R15 -90)
BUYER'S REPORT (1)
PROJECT 07 -08; Keystone Parkway PARCEL 23 COUNTY Hamilton CODE N/A
REMARKS (Cont'd): highlighted plan sheet. The Uniform Property or Easement Acquisition Offer letter, in
accordance with I.C. 32 -24 -1, provides only 30 days from its receipt to accept or reject the City's offer. The 30
days may be waived and the offer accepted or rejected now or at anytime during this period. It was also indicated
that the legally protected rights and= under Indiana's eminent domain law are set forth on page two of the
Uniform Property or Easement Offer Letter, as well as within the booklet, "ACQUISITION, Acquiring Real Property
for Federal and Federal -Aid Programs and Protects It was explained that typically, the City makes payment within
90 days after receiving the secured parcel file from the consultant and Indiana law dictates that possession of the
property will transfer to the City thirty (30) days after payment is received. The introductory letter mailed in
conjunction with the offer explained that the project is to improve N. Keystone Parkway and E. 106 Street. More
specifically, a portion of the subject property is required as permanent right -of -way. The permanent acquisition,
known as Parcel 23, contains 0.648 acres, of which 0.096 acres is existing right -of -way under pavement. As
explained in the form, "Owner's Private Appraisal Letter the owner or its representative may submit an
independent appraisal for review at its own expense. The forms /documents requiring signatures and notarization
were indicated. Mr. Secrest was encouraged to call with any questions.
..31‘v)/e0i/z)
Signature
Page 2 of 2
/Z 6,708/
Date
CITY OF CARMEL
BUYER'S REPORT (2)
PROJECT 07 -08; Keystone Parkway PARCEL 23 COUNTY Hamilton CODE N/A
NAME ADDRESS OF OWNER Carmel Church, SBC, Inc.
2240 106 Street East, Carmel, IN 46032 PHONE 317.818.9191
NAME ADDRESS OF PERSON CONTACTED Elder Gary Secrest
2240 106 Street East, Carmel, IN 46032
(List other interested parties on reverse side including nature of their interest)
DATE ASSIGNED 1/21/08 DATE OF CONTACT 2/12/08 TIME OF CONTACT 1:40 pm
OFFER 62,423.00 TYPE OF CONTACT: PERSONAL VISIT, (X) TELEPHONE CALL, MAIL
Write: YES, NO or N/A (for Not Applicable), as appropriate, in each numbered blank space:
1. N/A Checked Abstract with owner? 13. N/A Sent Daily Notice to Relocation Section?
2. N/A Any affidavits taken? 14. YES Secured W -9 Form?
3. YES Any mortgage(s)?
4. N/A Any other liens, judgments, etc.?
5. N/A Showed plans? Explained take?
6. N/A Explained about retentions?
7. N/A Any major item retained?
8. N/A Any minor item retained?
9. N/A Walked over property?
10. N/A Arranged for owner to pay taxes?
11. N/A Secured Right -of -Entry?
12. N/A Secured Driveway Right -of -Entry?
REMARKS: Gary Secrest telephoned and stated that the offer amount appears agreeable. There are two signs
that are located within the acquisition area. Compensation was included for their relocation. Mr. Secrest explained
that they plan to only move one of the two.
2/26/08 (2:00 pm) I spoke with Mr. Secrest. He provided a verbal acceptance of the offer and stated that the
executed forms are forthcoming. The pertinent forms were later received fully executed. Two mortgages were
indicated in the Title and Encumbrance Report requiring releases. A substantial amount of time elapsed during
which the owner worked with the mortgagee regarding the releases. Copies of the releases were provided on
August 11, 2008. The mortgagee is requiring $30,000 of the proceeds be applied to the mortgage balance. Once
the money is received, the original documents will be provided. The Hamilton County Treasurer's office confirmed
that property taxes on the subject property are paid current. The Receipt of Conveyance Instrument was later
mailed to Mr. Secrest.
Status of Parcel: (X)- Secured, Condemned, -Other (Explain)
Distribution Made:
(X) Parcel Attorney
(X) Owner Other (Specify)
Weekly Summary
State Form 2601 (R2/3 -91)
PHONE 317.796.8832 (cell)
LEFT FOLLOWING PAPERS WITH OWNERS: MAILED
15. N/A Written Offer?
16. N/A Land Acquisition Brochure?
17. N/A Retention Letter?
18. N/A Statement of Just Compensation?
19. N/A Tax memo (interim period)?
20. YES Receipt of Conveyance Instrument?
21. N/A Copy of Conveyance Instrument?
22. N/A Owner's Appraisal Letter?
23. N/A Brochure, "Relocation You
(Signature)
Page 1 of 1