P110 W&W PropertiesINSTRUCTIONS:
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: W &W Properties, LLC
ADDRESS: North of Carmel Drive, along Keystone Way
DESCRIPTION OF PROPERTY: A part of the S of S31, T18N, R4E
PROJECT: Keystone Parkway
PARCEL: 110
LAND AND /OR
IMPROVEMENTS: $14, 550
I (we) certify that the a
Fee Owner(s)
r
Signature
Signature
CLOSING STATEMENT
COUNTY: Hamilton
PURCHASE PRICE:
ADMINISTRATIVE SETTLEMENT. -0-
DAMAGES: $950
e and correct and I (ware in receipt of check.
Date
Date
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CITY OF CARMEL
BUYER'S REPORT
PROJECT 07 -08: Keystone Parkway PARCEL 110 COUNTY Hamilton
NAME ADDRESS OF OWNER W W Properties, L.L.C.
P.O. Box 649 Carmel, IN 46082
NAME ADDRESS OF PERSON CONTACTED
P.O. Box 649 Carmel, IN 46082
Steven A. Wilson, Member
(List other interested parties on reverse side including nature of their interest)
PHONE 317.846.2555
PHONE 317.846.2555
DATE ASSIGNED 10/30/08 DATE OF CONTACT 11/11/08 TIME OF CONTACT
Write: YES, NO or N/A (for Not Applicable), as appropriate, in each numbered blank space:
4:30 pm
1. YES Checked Abstract with owner?
2. N/A Any affidavits taken?
3. YES Any mortgage(s)?
CODE N/A
OFFER 15,500.00 TYPE OF CONTACT: PERSONAL VISIT, (X) TELEPHONE CALL, (X) MAIL
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?
13. N/A Sent Daily Notice to Relocation Section?
14. YES Secured W -9 Form?
LEFT FOLLOWING PAPERS WITH OWNERS: MAILED
15. YES Written Offer?
16. YES Land Acquisition Brochure?
17. NO Retention Letter?
18. YES Statement of Just Compensation?
19. N/A Tax memo (interim period)?
20. YES Receipt of Conveyance Instrument?
21. YES Copy of Conveyance Instrument?
22. YES Owner's Appraisal Letter?
23. N/A Brochure, "Relocation You
REMARKS: I telephoned the number provided within the appraisal report and left a message. I explained that
I am assisting the City of Carmel with the acquisition phase of the Keystone Parkway, 116 Street, and Carmel
Drive improvement project. In conjunction with the project I need to present a monetary offer for the additional
right -of -way required for the project. My telephone number was provided for further contact.
11/13/08 (2:30 pm) I telephoned the number provided again and explained that an offer packet would be mailed
via "certified" mail. Shae, Steve's daughter, returned my call requesting the packet be mailed to Steve's attention
at the specified P.O. Box. Consequently, the pertinent forms and related information were mailed via "Certified
mail, Return Receipt Requested on November 18, 2008, with a date of delivery on November 21, 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 and the form acknowledging its
receipt, the Confirmation of Opportunity to Accompany Appraiser on Inspection, the Statement of the Basis for
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 2
PROJECT 07 -08; Keystone Parkway PARCEL 110 COUNTY Hamilton CODE N/A
REMARKS (Cont'd): 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 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 Land or Easement Offer Letter, as well as within the booklet, "ACQUISITION, Acquiring Real Property
for Federal and Federal -Aid Programs and Projects 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 with full limitation
of access. The permanent acquisition, known as Parcel 110, contains 0.046 acres. As explained in the form,
"Owner's Private Appraisal Letter Mr. Wilson may submit an independent appraisal for review at his own
expense. The forms /documents requiring signatures and notarization were indicated. Mr. Wilson was encouraged
to call with any questions or to schedule an appointment.
Without any further correspondence, the fully executed forms /documents were received. The Receipt of
Conveyance document was promptly forward to Mr. Wilson. The Hamilton County Treasurer verified that taxes
were paid current.
State Form 20625 (R15 -90)
BUYER'S REPORT
Signature
Gina M. Hansen