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P88 GreenINSTRUCTIONS: LAND AND /OR Fee Owner(s) Signature Signature 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 tax professional. FEE OWNER: Michael R. Green ADDRESS: 2515 E. 136 Street DESCRIPTION OF PROPERTY: A part of North Sec 30 Twp 18N Rge 4E PROJECT: Keystone Parkway PARCEL: 88 COUNTY: Hamilton PURCHASE PRICE: $30, 000.00 ADMINISTRATIVE SETTLEMENT.' $1,335.00 IMPROVEMENTS: $24,660.00 DAMAGES: $4,005.00 1(we) certify that th above is t� e and corm and I (we) are in receipt of check. Date Date CITY OF CARMEL BUYER'S REPORT (1) PROJECT 07 -08: Keystone Parkway 136 St. PARCEL 88 COUNTY Hamilton CODE N/A NAME ADDRESS OF OWNER Michael R. Green 16234 Montrose Lane, Westfield IN 46074 PHONE 317.538.4257 NAME ADDRESS OF PERSON CONTACTED Michael R. Green 16234 Montrose Lane, Westfield, IN 46074 PHONE 317.538.4257 (List other interested parties on reverse side including nature of their interest) DATE ASSIGNED 7/7/08 DATE OF CONTACT 7/10/08 TIME OF CONTACT 11:00 am OFFER 28,665.00 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? 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. 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: 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. 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. Michael Green. I explained that I am assisting the City of Carmel with the acquisition phase of the Keystone Parkway and 136 Street improvement project. In conjunction with the project I need to present a monetary offer for the additional right -of -way required for the project. I provided the option to have the offer presented in person or via "certified" mail. Mr. Green opted for mailing. The acquisition area was discussed. Ownership was confirmed and an alternate mailing address was provided. Consequently, the pertinent forms and related information were mailed via "Certified mail, Return Receipt Requested on July 14, 2008, with a date of delivery on July 18, 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 letter acknowledging its receipt, 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 Sales Disclosure Form, the Accounts Payable Voucher, the "Request for Status of Parcel: Secured, Condemned, -Other (Explain) (Signature) Elizabeth A. Sullivan Page 1 of 2 BUYER'S REPORT (1) PROJECT 07 -08; Keystone Parkway and 136 St. PARCEL 88 COUNTY Hamilton CODE N/A REMARKS (Cont'd): Taxpayer Identification Number and Certification (Form W -9), the "Owner's Private Appraisal Letter a copy of the highlighted plan sheet and the Right -of -Entry. 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 and 136 Street. More specifically, a portion of the subject property is required as permanent right -of -way. The permanent acquisition, known as Parcel 88, contains 0.193 acres. As explained in the form, "Owner's Private Appraisal Letter Mr. Green may submit an independent appraisal for review at his own expense. The forms /documents requiring signatures and notarization were indicated. Mr. Green was encouraged to call with any questions. State Form 20625 (R15 -90) Q 7/a/jo s Signatiife Elizabeth A. Sullivan Date PROJECT 07 -08; Keystone Parkway 136 St. PARCEL 88 COUNTY Hamilton CODE N/A NAME ADDRESS OF OWNER Michael R. Green 16234 Montrose Lane, Westfield IN 46074 PHONE 317.538.4257 NAME ADDRESS OF PERSON CONTACTED Michael R. Green 16234 Montrose Lane, Westfield, IN 46074 PHONE 317.538.4257 (List other interested parties on reverse side including nature of their interest) DATE ASSIGNED 7/7/08 DATE OF CONTACT 7/24/08 TIME OF CONTACT OFFER 30,000.00 TYPE OF CONTACT: (X) 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. NO 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. YES Secured Right -of -Entry? 12. N/A Secured Driveway Right -of -Entry? CITY OF CARMEL BUYER'S REPORT (2) 11:00 am 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. N/A Land Acquisition Brochure? 17. NO 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: Subsequent to the review of the offer packet, Mr. Green telephoned. He requested a total of $36,500.00, which is an additional $7,835.00. He believes that the project is the reason that he is having difficultly in renting Tract 1 (2515 E. 136 Street). He also believes that the acquisition will have an effect on his ability to park his equipment. Mr. Green's request was forwarded for consideration. The City agreed to an administrative settlement in the amount of $30,000.00, which is an increase of $1,335.00. I telephoned Mr. Green and explained to him what the City had countered at. He verbally accepted. I explained that some of the forms /documents would require revisions. I later contacted Mr. Green and an appointment was scheduled for Monday, August 4 for the purpose of executing the required forms. 8/4/08 (9:45 am) I met Mr. Green at his workplace. The revised documents were provided and each were signed. I provided notary assistance. While preparing the file to forward for processing it was noted that the Title and Status of Parcel: (X)- Secured, Condemned, -Other (Explain) Distribution Made: (X) Parcel (X) Owner Weekly Summary State Form 2601 (R2/3 -91) Attorney Other (Specify) (Sig a g Elizabeth A. Sullivan Page 1 of 2 State Form 20625 (R/5 -90) BUYER'S REPORT (2) PROJECT 07 -08; Keystone Parkway and 136 St. PARCEL 88 COUNTY Hamilton CODE N/A REMARKS (Cont'd): Encumbrance Report indicated a mortgage. I contacted Mr. Green and he explained that the mortgage had been satisfied. I contacted the mortgage company and obtained a Satisfaction of Mortgage. The Hamilton County Treasurer indicated that the taxes due for 2007 and payable for 2008 are now delinquent. I contacted Mr. Green and he stated that he is disputing the current bill based on the large increase. The City approved forwarding the secured parcel for payment without the taxes being paid current. The Receipt of Conveyance Instrument was later forwarded to Mr. Green. Signatu e Elizabeth A. Sullivan Date DULY ENTERED FOR TAXATION Subject to final acceptance for transfer 5 day of SLIOrlI be1L 20 IV-id/4v Auditor of Hamilton County Parcel i WARRANTY DEED THIS INDENTURE WITNESSETH THAT Michael R. Green 2008048447 WARR DEED $27.00 09/25/2008 11:48:51A 6 PGS Jennifer J Hayden HAMILTON County Recorder IN Recorded as Presented Project: 07 -08; Keystone Pkwy 136` St. Parcel: 88 (individually and collectively the "Grantor convey and warrant to the City of Carmel, Indiana (the "Grantee for the sum of Thirty Thousand and NO /100 Dollars 30,000.00 and other valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the following described real estate in Hamilton County, State of Indiana: GRANTOR: See attached Exhibit A, which is 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, Grantor has caused this Warranty Deed to be executed this day of (�L kST 2008. Add Michael R. Green Title: STATE OF ND 1 P A- COUNTY OF 1 (Vigo 831464v1 SS: NOTARY CERTIFICATION Before me the undersigned, a Notary Public in and for said County and State, personally appeared Michael R. Green 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 y 6 day of AtAG u.S1 2008. My Commission Expires: 1PCCI111 et- 5 a-501 4 j County of Residence: ni (1-e>6)- Q c� Notar�' Signature 0 o Notary Printed Name f' 4 3 This instrument was prepared by Douglas C. Haney, Carmel City Attorney, City Hall, One Civic"Sgiiare, Carmel, Indiana 46032 Send tax bills to: One Civic Square, Carmel, IN 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. '.j i.•n I ('vo1a h:-.5 H ci 7 Project: 07 -08 Parcel 88 EXHIBIT "A" Sheet 1 of 2 Fee Simple A part of the North Half of Section 30, Township 18 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 in the North line of Section 30, distant West 2081 feet of the Northeast corner thereof (the foregoing portion of this description beginning with the words `Beginning at a point" is quoted from Instrument Number 9435538 in the Office of the Recorder of Hamilton County) to a prolonged east line of said grantor's land: thence South 1 degree I 1 minutes 40 seconds East 35.59 feet along said east line prolonged to the southern boundary of 136` Street; thence continuing South 1 degree 11 minutes 40 seconds East 89.28 feet along an east line of said grantor's land;" thence South 89 degrees 39 minutes 10 seconds West 14.21 feet to Point "528" designated on said plat; thence North 0 degrees 20 minutes 50 seconds West 80.00 feet to Point "527" designated on said plat; thence South 89 degrees 39 minutes 10 seconds West 166.94 feet to a west line of said grantor's land; thence North 1 degree 13 minutes 22 seconds West 28.99 feet along said west line to the south boundary of said 136 Street; thence continuing North 1 degree 13 minutes 22 seconds West 16.50 feet along a prolonged west line of said grantor's land to the north line of said half quarter section; thence North 89 degrees 51 minutes 20 seconds East 180.00 feet along said north line to the point of beginning and containing 0.212 acres, more or Less. Excepting therefrom: Beginning at the Northwest corner of Section Thirty, Township Eighteen North, Range Four East, Delaware Township, Hamilton County, Indiana; Thence East along the North Section Line three thousand five hundred seventy -one and seven tenths feet to a point; thence west four hundred ninety -nine and eight tenths feet to a point; thence South twenty -one and two tenths feet to the point of beginning of this tract; PARCEL NO. 18 PERMANENT RIGHT OF WAY Thence North eighty -eight degrees, fifty -nine minutes East, eighty -four feet along the South boundary of Smoky Row Road to a point on the East property line; Thence South zero Project: 07 -08 Parcel 88 EXHIBIT "A" Sheet 2 of 2 Fee Simple degrees, thirty -four minutes East, nineteen and three tenths feet along said property line to a point; thence North seventy -eight degrees, three minutes West, eighty -six feet to the point of beginning and containing eight hundred ten (810) square feet, more or less. (the foregoing exceptions are quoted from Book 171, Page 363 in the Office of the Recorder of said County). After said exception containing 0.193 acres, more or less, inclusive of the presently existing right of way, which contains 0.067 acres, more or less. All bearings in this description which are not quoted from previous instruments are based on the bearing system for City of Carmel Project 07 -08. This description was prepared for the City of Carmel, Indiana by Tracy L. McGill, Indiana Registered Land Surveyor, License Number op500009, on the 12 day of May, 2008. (Revised 06.30.2008) z* No (20500000: STATEOF r S j UR EXHIBIT "B" RIGHT -OF -WAY PARCEL PLAT Prepared For The City of Carmel by: AMERICAN STRUCTUREPOINT INC. EXISTING R/W SHEET 1 OF 2 0 100' SCALE: 1 =20 0' 200' //A HATCHED AREA IS THE APPROXIMATE TAKING OWNER: Green, Michael R. PARCEL: 88 PROJECT: 07 -08 ROAD: Keystone Parkway COUNTY: Hamilton SECTION: 30 TOWNSHIP: 18 NORTH RANGE: 4 EAST DRAWN BY: JEM CHECKED BY: TLM INSTRUMENT NUMBER 9709732227, DATED JULY 29, 1997 INSTRUMENT NUMBER 9435538, DATED JUNE 16, 1987 1- INSTRUMENT NUMBER 8601199, DATED JANUARY 21, 1986 THIS PLAT WAS PREPARED FROM PUBLIC DOCUMENTS AND NOT CHECKED BY A FIELD SURVEY.) Point North East Station Offset 63 67 70 71 See Location Control Route Survey Plat 82 84 91 181 31427.9320 15264.7050 Additional PLS Corner 5/8" Rebar 0.75" Down 500 31443.7014 12501.2105 39 +00.00 0' PR S -9 -E 501 31449.4453 13449.1850 48 +47.99 0' PR S -9 -E 526 31374.5682 12644.4756 +PL(40 +42.84) 70.00' RT PR S -9 -E 527 31377.7622 13171.6223 45 +70.00 70.00' RT PR S -9 -E 528 31297.7637 13172.1070 45 +70.00 150.00' RT PR S -9 -E 529 31299.9584 13534.3247 601 +35.68 °L (115.45') LT E EXHIBIT "B" RIGHT -OF -WAY PARCEL PLAT Prepared For The City of Carmel by: AMERICAN STRUCTUREPOINT 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 if2) Tracy L. McGill Reg. Land Surveyor No. LS20500009 State of Indiana 5/2174A Date SHEET 2 OF 2 NOTE: STATIONS AND OFFSETS ARE TO CONTROL OVER NORTH AND EAST COORDINATES. 2 Green, Michael R. PARCEL: 88 OWNER: 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.)