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P76 GuttrichINSTRUCTIONS: CLOSING STATEMENT 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: Marcus P. Guttrich ADDRESS: NEQ Keystone Parkway E. 131 Street DESCRIPTION OF PROPERTY: Part of Lot 189 in Harrowgate Addition Third, Section 30, Township 18N, Range 4E, Hamilton County, Indiana PROJECT: Keystone Parkway 131 Street Intersection PARCEL: 76 COUNTY: Hamilton PURCHASE PRICE: $13,400.00 LAND AND /OR ADMINISTRATIVE SETTLEMENT. -0- IMPROVEMENTS. $6,750.00 DAMAGES: $6,650.00 I (we) certify that the above is true and correct and I (we) are in receipt of check. Fee Owner(s) /0 6 9 Signature Date Signature Date Buyer has confirmed taxes are paid and current. CITY OF CARMEL BUYER'S REPORT (1) PROJECT 07 -08; Keystone Parkway 131s St. PARCEL 76 COUNTY Hamilton NAME ADDRESS OF OWNER Marcus P. Guttrich 934 E. Main Street, Carmel, IN 46033 NAME ADDRESS OF PERSON CONTACTED Marcus P. Guttrich (List other interested parties on reverse side including nature of their interest) PHONE 317.844.2689 934 E. Main Street, Carmel, IN 46033 PHONE 317.844.2689 DATE ASSIGNED 7/2/09 DATE OF CONTACT 7/6/09 TIME OF CONTACT OFFER 13,400.00 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: CODE N/A 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? 10:15 am 1. YES 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. YES Any mortgage(s)? LEFT FOLLOWING PAPERS WITH OWNERS: MAILED 15. YES Written Offer? 16. NO 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 telephoned the number provided within the Appraisal Report and spoke with Mr. Marcus P. Guttrich. I explained that I am assisting the City of Carmel with the acquisition phase of the Keystone Parkway improvement project. In conjunction with the project, an offer for additional right -of -way needs to be presented. I provided Mr. Guttrich the option to meet in person for the presentation of the offer or it could be mailed "certified He preferred mailing and confirmed his mailing address as well as ownership. Consequently, the offer and related information were mailed via "Certified mail, Return Receipt Requested on July 9, 2009, with a date of delivery on July 10, 2009. Included within the packet were the following forms /documents: an introductory letter, the Statement of the Basis for Just Compensation, the Appraisal Report, the Uniform Property or Easement Acquisition Offer letter, the Warranty Deed with Limitation of Access with Exhibits "A" and "B the Temporary Easement Agreement with Exhibits "A" and "B the Surviving Spouse Affidavit with Exhibit "A (2) Sales Disclosure Forms, the Accounts Payable Voucher, the Request for Taxpayer Identification Number and Certification (Form W -9), the "Owner's Private Appraisal Letter the Right of Entry, and a copy of the highlighted Status of Parcel: Secured, Condemned, -Other (Explain) Distribution Made: (X) Parcel Attorney i Owner Other (Specify) O[1 I Weekly Summary (Si•nature% Nancy E. Hermann State Form 2601 (R2/3 -91) Page 1 of 2 PROJECT 07 -08; Keystone Parkway 131s Str. PARCEL 76 COUNTY Hamilton CODE N/A REMARKS (Cont'd): 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 options under Indiana's eminent domain law are set forth on page two of the Uniform Land or Easement Offer Letter. 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 131' Street. More specifically, a portion of the subject property is required as a permanent right -of -way with limitation of access and a temporary easement. The permanent right -of -way with limitation of access, known as Parcel 76, contains 1,169 square feet. The temporary easement, known as Parcel 76A, contains 300 square feet. It is needed for drive construction and will revert to you upon completion of the project. As explained in the form, "Owner's Private Appraisal Letter Mr. Guttrich may submit an independent appraisal for review at his own expense. The forms /documents requiring signatures and notarization were indicated. Mr. Guttrich were encouraged to call with any questions or to schedule an appointment. 7/23/09 (10:15 am) Mr. Guttrich telephoned in response to a previous message. He requested that we meet to review the offer and corresponding documents. An appointment was set for the following day, Friday July 24 at 10:00 am. State Form 20625 (R/5 -90) BUYER'S REPORT (1) (Signature)Vancy E. Hermann Date 934 E. Main Street, Carmel, IN 46033 NAME ADDRESS OF PERSON CONTACTED 934 E. Main Street, Carmel, IN 46033 1. N/A Checked Abstract with owner? 2. N/A Any affidavits taken? 3. YES Any mortgage(s)? 4. N/A Any other liens, judgments, etc.? 5. YES 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. YES Walked over property? 10. N/A Arranged for owner to pay taxes? 11. YES Secured Right -of -Entry? 12. N/A Secured Driveway Right -of -Entry? Distribution Made: CITY OF CARMEL BUYER'S REPORT (2) PROJECT 07 -08; Keystone Parkway 131s St. PARCEL 76 COUNTY Hamilton CODE N/A NAME ADDRESS OF OWNER Marcus P. Guttrich Marcus P. Guttrich (List other interested parties on reverse side including nature of their interest) (X) Parcel Attorney Owner Other (Specify) Weekly Summary PHONE 317.844.2689 PHONE 317.844.2689 DATE ASSIGNED 7/2/09 DATE OF CONTACT 7/24/09 TIME OF CONTACT 10:00 am OFFER 13,400.00 TYPE OF CONTACT: (X) 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. YES Secured W -9 Form? LEFT FOLLOWING PAPERS WITH OWNERS: MAILED 15. N/A Written Offer? 16. NO 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: At the prearranged time I met with Mr. Guttrich and his son at the subject property. We briefly reviewed the plans as well as cross sections. I explained that the intersection of Keystone Parkway and 131s Street will be constructed similar to the roundabout located at 106 and Keystone Parkway. I indicated to Mr. Guttrich on the plans the proposed acquisition areas and explained that the raised center median along 131s Street will extend past his drive, allowing entrance only from the east. The three trees compensated for in the appraisal report were shown. I explained that two of the three were not within the construction limits and may not be disturbed. Mr. Guttrich requested all three (3) trees be removed. As the property had been staked, we were visually able to correspond the points on the plans with the actual area. Mr. Guttrich was agreeable to the plans as proposed. We then proceeded to review the offer and corresponding documents. Mr. Guttrich accepted the offer as presented and signed the required documents. I provided notary assistance. Mr. Guttrich confirmed the mortgage information provided within the Title and Encumbrance Report. Upon receipt of the partial release from National City, the Hamilton County Treasurer was contacted and confirmed that property taxes were pad current. The Receipt of Conveyance Instrument was forwarded to Mr. Guttrich. Status of Parcel: (X)- Secured, Condemned, -Other (Explain) (Signat Nancy E. Hermann State Form 2601 (R2/3 -91) Page 1 of 1 DULY ENTERED FOR TAXATION G Subject to final acceptance for transfer -t �y day of 20 OR `k,LOn Auditor of Hamilton County Parcel 2 t� WARRANTY DEED WITH LIMITATION OF ACCESS THIS INDENTURE WITNESSETH THAT Marcus P. Guttrich Subject to any and all easements, agreements, restrictions and other matters of record. 2009056680 WARR DEED $24.00 09/24/2009 10:41:07A 5 PGS Jennifer J Hayden HAMILTON County Recorder IN Recorded as Presented Project: 07 -08; Keystone Parkway Parcel: 76 (individually and collectively the "Grantor convey and warrant to the City of Carmel, Indiana (the "Grantee for the sum of Thirteen Thousand and NO /00 Dollars 13,000.00 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, which is attached hereto and incorporated herein TOGETHER with the permanent extinguishment of all rights and easements of ingress and egress to, from and across the public road known as State Road 431 /Keystone Avenue to and from the Grantor's remaining lands as described in Exhibit A. This restriction is a covenant running with the land and shall be binding on the Grantor and on all successors in title to the remaining lands of the Grantor described in Exhibit A. 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. This acknowledgement and agreement is a covenant running with the land and shall be binding upon the Grantor and all successors and assigns. IN WITNESS WHEREOF, Grantor has caused this Warranty Deed to be executed this 24 day of July 2009. GRANTOR: 9rAttegz Marcus P. Guttrich 1172980v2 NOTARY CERTIFICATION STATE OF Indiana SS: COUNTY OF Hamilton NOTARY CERTIFICATION Before me the undersigned, a Notary Public in and for said County and State, personally appeared Marcus P. Guttrich 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 24 day of July 2009. My Commission Expires: August 4, 2016 C11 ntv ldgn ra• T �A?cin+ y 4gY NANCY HERMANN Marion County My Commission Expires August 4, 2016 Send tax bills to: One Civic Square, Carmel, IN 46032 I. JIL LI Nancy Hermann Notary Printed Name This instrument was prepared by Douglas C. Haney, Carmel City Attorney, City Hall, One Civic Square, Carmel, Indiana 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 perjury, that I have taken reasonable care to redact each and every Social Security number from this document, unless it is required by law. eRtM pl EXHIBIT "A" Project: 07 -08 Parcel: 76 Fee Simple with Partial Limitation of Access Key Number: 16- 10- 30- 02 -02- 023.000 Part of Lot 189 in Harrowgate Addition Third Section, the plat of which addition is recorded in Plat Book 2 page 280 in the Office of the Recorder of Hamilton County, Indiana, and being that part of the grantors' land shown on the attached right of way parcel plat attached as Exhibit "B" described as follows: Beginning at the southeast corner of said Lot 189 designated as Point "611" on said parcel plat: thence North 89 degrees 12 minutes 48 seconds West 107.00 feet along the south line of said Lot 189 to the southwest corner of said lot; thence North 0 degrees 32 minutes 12 seconds East 27.30 feet along the west line of said lot to Point "614" designated on said parcel plat; thence South 62 degrees 32 minutes 38 seconds East 44.73 feet to Point "613" designated on said parcel plat; thence South 89 degrees 06 minutes 14 seconds East 67.12 feet to the east line of said Lot 189 designated as Point "612" on said parcel plat; thence South 0 degrees 32 minutes 12 seconds West 7.09 feet along the east line of said lot to the point of beginning and containing 1,169 square feet, more or less. TOGETHER with the permanent extinguishment of all rights of ingress and egress to and from the grantors' abutting lands to the limited access facility known as Keystone Parkway and as the City of Carmel Project 07 -08 more particularly described as follows. The 44.73 -foot course described above. This restriction shall be a covenant running with the land and shall be binding on all successors in title to the said abutting lands. This description was prepared for The City of Carmel by Tracy L. McGill, Indiana Registered Land Surveyor, License Number LS20500009, on the 4 day of February, 2009. Page 1 of 1 577 +00 576 +00 575 +00 0 0 0 U) EXHIBIT "B" RIGHT -OF -WAY PARCEL PLAT Prepared For The City of Carmel by: AMERICAN z 1- (1) w LINE "S -8 -E" STUUCTUREPOINT INC. f, 6 UTILITY EASEMENT LOT 188 EXISTING R/W 0 0 131st Street L[7 CV LC) LOT 196 N rei SHEET 1 OF 2 0 25' SCALE: 1 =50' _6 UTILIT Y EASEME R Residue "A" LOT 189 107' 0 0 N) 50' 8 N R/W //A HATCHED AREA IS THE APPROXIMATE TAKING 1• OWNER: PARCEL: PROJECT: ROAD: COUNTY: SECTION: TOWNSHIP: RANGE: GUTTRICH, MARCUS P. ET UX. 76 07 -08 KEYSTONE HAMILTON 30 18 NORTH 4 EAST PARKWAY DRAWN BY: JEM CHECKED BY: TLM DEED BOOK 270 PAGE 491, DATED NOVEMBER 20, 1973 THIS PLAT WAS PREPARED FROM PUBLIC DOCUMENTS AND NOT CHECKED BY A FIELD SURVEY. t_ b Point North East Station Offset 60 64 65 See Location Control Route Survey Plat 66 67 611 28804.0123 14346.3601 +PL(53 +17.16) RW(52.91') Lt. "S -8 -E" 612 28811.1046 14346.4265 +PL(53 +17.12) 60.00' Lt. "S -8 -E" 613 28812.1542 14279.3139 52 +50 60.00' Lt. "S -8 -E" 614 28832.7759 14239.6258 +PL(52.09.99) 80.00 'Lt. "S -8 -E" r EXHIBIT "B" RIGHT -OF -WAY PARCEL PLAT Prepared For The City of Carmel by: AMERICAN STnUCTUnEF LINT INC POINT REFERENCE CHART (Feet) SURVEYOR'S STATEMENT To the best of my knowledge and belief, this plat, together with the "Location Control Route Survey" recorded as Inst. No. 200200088040 in the Office of the Recorder of Hamilton County, Indiana, incorporated and made a part hereof by reference, comprise a Route Survey executed in accordance with Indiana Administrative Code 865 IAC 1 -12 "Rule 12 (":9? Tracy L. McGill Reg. Land Surveyor No. LS20500009 State of Indiana z/ y/ Date SHEET 2 OF 2 ti ti IM Y A v °.2050000 STATE OF Rt., �s !ijl :tt' +ti NOTE: STATIONS AND OFFSETS ARE TO CONTROL OVER NORTH AND EAST COORDINATES. OWNER: GUTTRICH, MARCUS P. ET UX. PARCEL: 76 PROJECT: 07 -08 ROAD: KEYSTONE PARKWAY COUNTY: HAMILTON SECTION: 30 TOWNSHIP: 18 NORTH RANGE: 4 EAST DRAWN BY: JEM CHECKED BY: TLM AMERICAN STRUCTUREPOINT, INC PROJECT NO. IN20030661 THIS PLAT WAS PREPARED FROM PUBLIC DOCUMENTS AND NOT CHECKED BY A FIELD SURVEY.)