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P54A Waterford of Carmel HOAINSTRUCTIONS: Sign all copies. Keep one copy for your records. Return two copies in the enclosed stamped return 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 tax professional. FEE OWNER: Waterford of Carmel Homeowner's Association, Inc. ADDRESS: SEC of Keystone Parkway E. Carmel Drive Buyer has confirmed taxes are current. PROJECT: Keystone Parkway: 116th Street Carmel Drive PARCEL: 54 COUNTY: Hamilton PURCHASE PRICE: $25, 751 ADMINISTRATIVE SETTLEMENT: $-9,250 IMPROVEMENTS: $16,501 DAMAGES: -0- LAND AND /OR I (we) certify that the above is true and correct and I (we) are in receipt of check. Fee Owner(s) CLOSING STATEMENT Signature Date Signature Date .Z3 -0 9' 3046 Daum Ct., Carmel, IN 46033 CITY OF CARMEL BUYER'S REPORT (1) PROJECT 07 -08; Keystone Parkway PARCEL 54 COUNTY Hamilton CODE N/A NAME ADDRESS OF OWNER Waterford of Carmel Homeowner's Association, Inc. NAME ADDRESS OF PERSON CONTACTED Anne Schwartz, President 3046 Daum Ct., Carmel, IN 46033 PHONE 317.846.3174 (List other interested parties on reverse side including nature of their interest) DATE ASSIGNED 10/30/08 DATE OF CONTACT 11/10/08 TIME OF CONTACT 8:40 am OFFER 16,501.00 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: 1. YES Checked Abstract with owner? 13. N/A 2. N/A Any affidavits taken? 14. NO 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. NO Secured Right -of -Entry? 12. N/A Secured Driveway Right -of -Entry? Distribution Made: (X) Parcel Attorney (X) Owner Other (Specify) Weekly Summary State Form 2601 (R2/3 -91) PHONE 317.846.3174 Sent Daily Notice to Relocation Section? Secured W -9 Form? LEFT FOLLOWING PAPERS WITH OWNERS: MAILED 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 Ms. Anne Schwartz, President of the Waterford of Carmel Homeowner's Association, Inc., and explained I am assisting the City of Carmel with the acquisition phase of the Keystone Parkway Project. In conjunction with the project, an offer needs to be presented for the purchase of the additional permanent (fee simple) right -of -way needed for the project. Ms. Schwartz preferred that the offer packet be mailed to her attention and ownership was confirmed. Consequently, the offer and related information were mailed via "Certified mail, Return Receipt Requested on November 12, 2008, with a date of delivery on November 13, 2008. Included within the packet were the following forms /documents: an introductory letter, the booklet, "ACQUISITION, Acquiring Real Property for Federal And Federal -Aid Programs and Projects the Confirmation of Receipt of the Acquisition Booklet, the Confirmation of Opportunity to Accompany Appraiser on Inspection, the Statement of the Basis for Just Compensation, the Appraisal Report, the Uniform Property or Easement Acquisition Offer letter the Warranty Deed with Exhibits "A" and "B the Right -of -Entry with Exhibits, the Sales Disclosure Form, the Accounts Payable Voucher, the "Request for Taxpayer Identification Number and Certification (Form W -9), and Status of Parcel: Secured, Condemned, -Other (Explain) (Signature) Gina M. Hansen Page 1 of 2 State Form 20625 (R/5 -90) BUYER'S REPORT (1) PROJECT 07 -08: Keystone Parkway PARCEL 54 COUNTY Hamilton CODE N/A REMARKS (Cont'd): the "Owner's Private Appraisal Letter 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 options 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 Proiects 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, 116 Street, and Carmel Drive. More specifically, a portion of the subject property is required as permanent right -of -way. The permanent acquisition, known as Parcels 54 and 54A, contain a total of 0.120 acres. As explained in the form, "Owner's Private Appraisal Letter the owner or a representative may submit an independent appraisal for review at their own expense. The forms /documents requiring signatures and notarization were indicated. Ms. Schwartz was encouraged to call with any questions or to schedule an appointment. Gina M. Hansen CITY OF CARMEL BUYER'S REPORT (2) PROJECT 07 -08; Keystone Parkway PARCEL 54 COUNTY Hamilton NAME ADDRESS OF OWNER Waterford of Carmel Homeowner's Association, Inc. 3046 Daum Ct., Carmel, IN 46033 NAME ADDRESS OF PERSON CONTACTED 3046 Daum Ct., Carmel, IN 46033 (List other interested parties on reverse side including nature of their interest) DATE ASSIGNED 10/30/08 DATE OF CONTACT 11/19/09 TIME OF CONTACT OFFER 16,501.00 TYPE OF CONTACT: (X) 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? 2. N/A Any affidavits taken? 3. N/A Any mortgage(s)? 4. N/A Any other liens, judgments, etc.? 15. N/A 5. YES Showed plans? Explained take? 16. N/A 6. N/A Explained about retentions? 17. N/A 7. N/A Any major item retained? 18. N/A 8. N/A Any minor item retained? 19. N/A 9. NO Walked over property? 20. NO 10. N/A Arranged for owner to pay taxes? 21. N/A 11. NO Secured Right -of -Entry? 22. N/A 12. N/A Secured Driveway Right -of -Entry? 23. Distribution Made: State Form 2601 (R2/3 -91) Anne Schwartz, President (X) Parcel Attorney (X) Owner Other (Specify) Weekly Summary CODE N/A PHONE 317.846.3174 PHONE 317.846.3174 9:30 am 13. N/A Sent Daily Notice to Relocation Section? 14. NO Secured W -9 Form? LEFT FOLLOWING PAPERS WITH OWNERS: Written Offer? Land Acquisition Brochure? Retention Letter? Statement of Just Compensation? Tax memo (interim period)? Receipt of Conveyance Instrument? Copy of Conveyance Instrument? Owner's Appraisal Letter? N/A Brochure, "Relocation You REMARKS: Ms. Anne Schwartz requested a meeting and which was scheduled for November 19, 2009. As Gina Hansen was unavailable, Ms. Elizabeth Sullivan, her associate, attended the meeting. Jeremy Kashman was present as a representative for the City of Carmel. Those present representing the Waterford of Carmel Homeowners Association (HOA) included: Anne Schwartz, Bob Kaufman, Dennis Paige, John Wilfert, Bill Moore, and Judy Davis. Jeremy Kashman answered questions pertaining to the planned construction seasons and funding. The project was discussed in detail, specifically as it affects the subject property. Representatives of the HOA were mainly concerned about the value of the land, the irrigation system being affected, the light poles within the acquisition area, and the landscaping including the trees and wooden fences. The appraisal report was discussed and the value of the land improvements being affected. Mr. Kashman explained that a portion of the irrigation system is located within the existing right -of -way and thus, not included in the compensation offered. He suggested that the Buyer contact the irrigation contractor and attempt to obtain a sketch of the existing system to better give an idea of what is to be affected. The appraisal report did include compensation for large trees and Status of Parcel: Secured, Condemned, -Other (Explain) ignature) Gina M. Hansen Page 1 of 2 BUYER'S REPORT (2) PROJECT 07 -08; Keystone Parkway PARCEL 54 COUNTY Hamilton CODE N/A REMARKS (Cont'd): shrubs being acquired as a part of the project. The HOA contends that the amount included is not sufficient to replace what is being lost. It was explained that the appraiser is required to compensate based on contributory value not replacement cost. However, Mr. Kashman explained that the City has plans to replant in the area to be City property. He agreed to contact an arborist to discuss a plan. The HOA requested dense trees to replace those being lost. Additionally, they want to have an input on what is put back in that area. With regard to the lights, Mr. Kashman stated that he believes two lights on Carmel Drive should not be affected by the project. The third light will possibly be relocated or the City's lights may come down that far. Mr. Kashman is confirm which lights are to be affected. The HOA requested that all correspondence continue to be through Ms. Anne Schwartz, the President of the HOA. State Form 20625 (R/5 -90) /f /v Gina M. Hansen ate (Signature) CITY OF CARMEL BUYER'S REPORT (3) PROJECT 07 -08; Keystone Parkway PARCEL 54 COUNTY Hamilton NAME ADDRESS OF OWNER Waterford of Carmel Homeowner's Association, Inc. 3046 Daum Ct., Carmel, IN 46033 NAME ADDRESS OF PERSON CONTACTED Anne Schwartz, President Write: YES, NO or N/A (for Not Applicable), as appropriate, in each numbered blank space: 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. NO Secured Right -of -Entry? 12. N/A Secured Driveway Right -of -Entry? Distribution Made: (X) Parcel Attorney (X) Owner Other (Specify) Weekly Summary State Form 2601 (R2/3 -91) CODE N/A PHONE 317.846.3174 3046 Daum Ct., Carmel, IN 46033 PHONE 317.846.3174 (List other interested parties on reverse side including nature of their interest) DATE ASSIGNED 10/30/08 DATE OF CONTACT 12/8/08 TIME OF CONTACT 10:00 am OFFER 16,501.00 TYPE OF CONTACT: PERSONAL VISIT, (X) TELEPHONE CALL, MAIL 1. N/A Checked Abstract with owner? 13. N/A Sent Daily Notice to Relocation Section? 2. N/A Any affidavits taken? 14. NO Secured W -9 Form? 3. N/A Any mortgage(s)? LEFT FOLLOWING PAPERS WITH OWNERS: 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. NO Receipt of Conveyance Instrument? 21. N/A Copy of Conveyance Instrument? 22. N/A Owner's Appraisal Letter? 23. N/A Brochure, "Relocation You REMARKS: I contacted Ms. Anne Schwartz to inquire of the status of the offer presented. She explained that she their attorney, Bill Moore, is to draft a response letter to present to the City of Carmel. They believe the offer is low and some issues have not been addressed adequately. 12/9/09 A letter was received from the HOA and signed by Anne Schwartz, President, and William C. Moore, Secretary. The letter states that the HOA is rejecting the offer due to their belief that the offer is inadequate. 12/15/08 (9:30 am) I contacted Ms. Schwartz subsequent to receipt of the letter. I explained that the City would like to work with them to reach an amicable solution. Ms. Schwartz stated their concerns /requests: The irrigation system will cost approximately $14,000 to relocate. Will the lights within the existing right -of -way be relocated as part of the project? Is there a proposed landscape plan in place. If not, the appraised value of the landscaping is low. Status of Parcel: Secured, Condemned, -Other (Explain) /ii:kt- (Signature) Gina M. Hansen Page 1 of 1 CITY OF CARMEL BUYER'S REPORT (4) PROJECT 07 -08; Keystone Parkway PARCEL 54 COUNTY Hamilton NAME ADDRESS OF OWNER Waterford of Carmel Homeowner's Association, Inc. 3046 Daum Ct., Carmel, IN 46033 NAME ADDRESS OF PERSON CONTACTED 3046 Daum Ct., Carmel, IN 46033 1. N/A Checked Abstract with owner? 2. N/A Any affidavits taken? 3. N/A 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. NO Secured Right -of- Entry? 12. N/A Secured Driveway Right -of -Entry? Distribution Made: State Form 2601 (R2/3 -91) Anne Schwartz, President (List other interested parties on reverse side including nature of their interest) (X) Parcel Attorney (X) Owner Other (Specify) Weekly Summary CODE N/A PHONE 317.846.3174 PHONE 317.846.3174 DATE ASSIGNED 10/30/08 DATE OF CONTACT 1/26/08 TIME OF CONTACT N/A OFFER 16,501.00 TYPE OF CONTACT: PERSONAL VISIT, 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. 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. NO Receipt of Conveyance Instrument? 21. N/A Copy of Conveyance Instrument? 22. N/A Owner's Appraisal Letter? 23. N/A Brochure, "Relocation You REMARKS: A letter dated January 26, 2009, was received from Anne Schwartz and William Moore. It contained a counter offer totaling $41,750.00, including: $13,500.00 for the real estate (based on the average of comparable purchases provided by the City) $14,000.00 for landscaping (based on an estimate from a landscape contractor) $14,250.00 for the irrigation system (installation of a replacement system for the equipment damage or removed during construction) They also requested a landscape design plan be provided them for review and consideration. Status of Parcel: Secured, Condemned, -Other (Explain) ignature) Gina M. Hansen Page 1 of 1 CITY OF CARMEL BUYER'S REPORT (5) PROJECT 07 -08; Keystone Parkway PARCEL 54 COUNTY Hamilton NAME ADDRESS OF OWNER Waterford of Carmel Homeowner's Association, Inc. 3046 Daum Ct., Carmel, IN 46033 NAME ADDRESS OF PERSON CONTACTED 3046 Daum Ct., Carmel, IN 46033 Anne Schwartz, President CODE N/A PHONE 317.846.3174 PHONE 317.846.3174 (List other interested parties on reverse side including nature of their interest) DATE ASSIGNED 10/30/08 DATE OF CONTACT 3/27/09 TIME OF CONTACT 2:40 pm OFFER 16,501.00 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: 1. N/A Checked Abstract with owner? 2. N/A Any affidavits taken? 3. N/A 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. NO Secured Right -of -Entry? 12. N/A Secured Driveway Right -of -Entry? Distribution Made: (X) Parcel Attorney (X) Owner Other (Specify) Weekly Summary State Form 2601 (R2/3 -91) 13. N/A Sent Daily Notice to Relocation Section? 14. NO Secured W -9 Form? LEFT FOLLOWING PAPERS WITH OWNERS: 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. NO Receipt of Conveyance Instrument? 21. N/A Copy of Conveyance Instrument? 22. N/A Owner's Appraisal Letter? 23. N/A Brochure, "Relocation You REMARKS: Ms. Anne Schwartz and I spoke regarding the project and issues being addresses. I explained that I had received the irrigation sketch from the appraisers and will be contacting Dave Rushing to discuss the estimate provided. I also explained that according to Jeremy Kashman, the two lights just west of Waterford Lane will not be disturbed. The remaining lights will be removed as part of the project. City light(s) will be placed in this area. We discussed the landscaping issue. As a landscape design plan is not available for that area, it was decided that Jeremy Kashman would provide a letter for the HOA as assurance that landscaping will be plants. Ms. Schwartz stated that they are still waiting on the letter from Jeremy Kashman. The value of the real estate was discussed. I explained that I was unsure how they arrived at the $13,500.00 counter included in their January 26, 2009, letter. The City's appraisal concluded a value of $85,000 per acre. The per acre prices of the comparables within the appraisal report averaged $85,730.00 per acre. She is to check with others and let me know. Status of Parcel: Secured, Condemned, -Other (Explain) ignature) Gina M. Hansen Page 1 of 1 CITY OF CARMEL BUYER'S REPORT (6) PROJECT 07 -08; Keystone Parkway PARCEL 54 COUNTY Hamilton CODE N/A NAME ADDRESS OF OWNER Waterford of Carmel Homeowner's Association, Inc. 3046 Daum Ct., Carmel, IN 46033 NAME ADDRESS OF PERSON CONTACTED 3046 Daum Ct., Carmel, IN 46033 1. N/A Checked Abstract with owner? 2. N/A Any affidavits taken? 3. N/A 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. NO Secured Right -of -Entry? 12. N/A Secured Driveway Right -of -Entry? Distribution Made: State Form 2601 (R2/3 -91) Anne Schwartz, President (List other interested parties on reverse side including nature of their interest) (X) Parcel Attorney (X) Owner Other (Specify) Weekly Summary PHONE 317.846.3174 PHONE 317.846.3174 DATE ASSIGNED 10/30/08 DATE OF CONTACT 6/5/09 TIME OF CONTACT N/A OFFER 16,501.00 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. 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. NO Receipt of Conveyance Instrument? 21. N/A Copy of Conveyance Instrument? 22. N/A Owner's Appraisal Letter? 23. N/A Brochure, "Relocation You REMARKS: I forwarded a letter to Ms. Anne Schwartz dated June 5, 2009. I addressed each issue /concern as follows: REAL ESTATE: Compensation totaling $13,500.00 was requested "based upon the average of comparable purchases provided by the City The comparable sales utilized within the appraisal report average to be $85,730.00 per acre, which would equate to a rounded compensation of $10,300.00. LANDSCAPING: A draft of a letter from Jeremy Kashman, the Keystone Project Manager, is enclosed, explaining the City's position regarding the landscape issue. IRRIGATION SYSTEM: The proposed construction project is to only affect that portion of the irrigation system located west of Lot 61's east property line and within the proposed acquisition area. Dave Rushing with A R Landscaping, Inc., provided a revised estimate totaling $7,600.00 to repair and correct the irrigation system to be affected by the construction project. Status of Parcel: Secured, Condemned, -Other (Explain) (Signature) Gina M. Hansen Page 1 of 1 CITY OF CARMEL BUYER'S REPORT (7) PROJECT 07 -08; Keystone Parkway PARCEL 54 COUNTY Hamilton NAME ADDRESS OF OWNER Waterford of Carmel Homeowner's Association, Inc. 3046 Daum Ct., Carmel, IN 46033 NAME ADDRESS OF PERSON CONTACTED 3046 Daum Ct., Carmel, IN 46033 Anne Schwartz, President CODE N/A PHONE 317.846.3174 PHONE 317.846.3174 (List other interested parties on reverse side including nature of their interest) DATE ASSIGNED 10/30/08 DATE OF CONTACT 7/9/09 TIME OF CONTACT 4:20 pm OFFER 25,751.00 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: 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. N/A 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. NO Secured Right -of- Entry? 12. N/A Secured Driveway Right -of -Entry? 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 REMARKS: Ms. Schwartz and I discussed my letter dated June 5, 2009. She inquired if the City would be willing to administratively settle the parcel for $25,751.00. This would include an additional $1,650.00 for the land and $7,600.00 for the relocation of the irrigation system. The City later agreed and revised forms were forwarded to Ms. Schwartz indicating the administrative settlement. 8/12/09 The HOA met and all pertinent forms /documents were signed and notarized. The following day, Jeremy Kashman met with Ms. Schwartz and received the executed documents. An existing mortgage was indicated in the Title and Encumbrance Report. A Release was obtained to indicate its satisfaction and will be recorded along with deed. A copy of the Release and the Receipt of Conveyance Instrument form was later mailed to Ms. Schwartz. 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) (Signature) Gina M. Hansen Page 1 of 1