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Pennsylavania/103rd - 106th - Parcel 3 Cooke, Theresa 2007038927 WD $0.00 07/12/2007 09:47:24A 4 PGS Jennifer J Hayden HAMILTON County Recorder IN Recorded as Presented Project: Pennsylvania Street 103 Street to 106 Street Project 06 -18 Parcel 3 J.c 13.23, WARRANTY DEED THIS INDENTURE WITNESSETH THAT Theresa S. Cooke, (individually and collectively the "Grantor convey and warrant to the City of Carmel, Indiana the "Grantee for the sum of Fifteen Thousand and 00 /100 Dollars ($15,000.00) 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 and Exhibit B, which are 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 3 day of 2007. GRANTOR: 6,1e, DULY ENTERED FOR TAXATION, Subject to final acceptance for transfer Theresa S. Cooke J g2 day 7k7hdi Auditor of Hamilton County Parcel Pi IA) NOTARY CERTIFICATION STATE OF INDIANA SS: COUNTY OF m ,z J1 Before me the undersigned, a Notary Public in and for said County and State, personally appeared Theresa S. Cooke 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 day of 2007. My Commission Expires: 4% L ‘-r County of Residence: Notary Signature SEA Notary Printed Name 1 1,1t)1 ANP This instrument was prepared by Douglas C. Haney, Carmel City Attorney, City Hall, One Civic Square, 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. Douglas C. Haney 831464v1 2 EXHIBIT "A" Project: Pennsylvania Street (103 Street -106` Street) Sheet 1 of 1 Parcel: 3 Fee A PART OF LOT FIVE (5) IN PENN -VIEW HEIGHTS, FIRST (1 SECTION, AS RECORDED IN DEED RECORD 139, PAGES 355 -356 IN THE OFFICE OF THE RECORDER OF HAMILTON COUNTY, INDIANA, AND BEING THAT PART OF THE GRANTOR'S LAND LYING WITHIN THE RIGHT OF WAY LINES DEPICTED ON THE ATTACHED PLAT, MARKED EXHIBIT "B MORE FULLY DESCRIBED AS FOLLOWS: Fifteen (15) feet, taken by parallel lines, off the entire west side of the following described property: Lot Numbered 5, in Penn -View Heights, 1 Section, an addition in Hamilton County, Indiana, as per plat thereof recorded in Deed Record 139, pages 355 -356 in the Office of the Recorder of Hamilton County, Indiana. CONTAINING 1,500 SQUARE FEET, MORE OR LESS. I, TRENT E. NEWPORT, a Registered Land Surveyor in the State of Indiana, do hereby certify that this description was prepared by me on December 8, 2006, from the original deed records of the property described and was based upon plans prepared by GAI Consultants for the City of Carmel Pennsylvania Street Improvement Project (Project #06 -18), and dated October, 2006. I further certify that to the best of my belief and knowledge this description is in accordance with Title 865, Article 1, Rule 12 of the Indiana Administrative Code. 010111{111111/1///////# TRENT E. NEWPORT S TE A INDIANA LAND SURVEYOR 1S R 6. s NO. LS 29600021 No. LS 29640021 STATE OF �'yD I ANP.•'0 a �iy, d PARCEL: 3 DRAWN BY KMK 12 -08 -06 C) PROJECT: Pennsylvania Street (103rd 106th) CHECKED BY TEN 12 -08 -06 PROJECT NO. 06 -18 COUNTY: HAMILTON E1'/-/JBJT "B" SCALE 1" 50' SECTION: 11 TOWNSHIP: 17 NORTH OWNER: COOKE, THERESA S. RANGE: 3 EAST RECORD DOCUMENT: #9116215 Date: 6 -20 -1991 //I HATCHED AREA IS THE AREA (PARCEL 3) APPROXIMATE TAKING This plat was prepared from information obta,ned from the Office of the SQUARE FEET Recorder of Hamilton County and from plans prepared by GAI Consultants TOTAL 12,000 for the City of Carmel (Project No 06 -18) The basis of bearings for this plat and legal description are baseo upon on assumes bearing of S R/W TAKE T,500 00'00'00" W along the West Line of the Northeast Quarter RESIDUE 10,500 NW COR NE 1 4 NORTH 11111 SEC. 11 25' 0 25' 50' PC STA. 28 +55.56 LINE 'A' iiisems■s SCALE 1'= 50' I (29 +29.831 N 57.81' Lai4 26.1.00 3 I Lot 23 W 1 1z0' I al �i z T R/W 1 Penn —View Heights First Section w V o (1) 1 1 D.R. 139, Pgs. 353 356 c z I ai I Rea 'A' W Lot 5 I Lot 22 >5 l 25+C0 IR c v 1 i 0 I a. 15' 11 120' I 1 I I Q I I c Lot 5 1 I Lot 21 L3J In Z +PL(23 +71.271 I N 43.21' 1 1 siolluniimourrgjy �PI A. 22 +30.89 UNE 'A' 1, PREPARED BY: E N E 11111 4 .6iS r4.- 0 111 Q F O i SW COR No. LS 29600021 —4. NE 1/4 SEC. 11 N STATE OF 1 S 4 ,c 16 ,''"owiiiil,nttt',,,,,',`` TRENT E. NEiVPOR'! DATE RE's. LAND SURVEYOR NO. LS29600021 EMIR 1 "•1. STATE OF INDIANA Development. le ntConsltants 31175 MUM tl4 NM 01011 11 4101 (317)753•I0 E s ENGINEERS, CLOSING STATEMENT 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: Theresa S. Cooke ADDRESS: Pennsylvania St, Carmel, IN 46032 DESCRIPTION OF PROPERTY: A part of Lot 5 in Penn -View Heights First Section as recorded in Deed Record 139, pages 355 -356 PROJECT' 06 -18 (Pennsylvania St. 103 to 106th) PARCEL: 3 COUNTY: Hamilton CLOSING DATE: PURCHASE PRICE: $15,000.00 LAND AND /OR ADMINISTRATIVE SETTLEMENT: 0.00 IMPROVEMENTS: $10, 500.00 DAMAGES: 4, 500.00 0 we) certify that the above is true and c rrect and acknowledge receipt of payment. Fee Owners 69_eic3 j---6,,,i2_, 2 Signature te Signature Date 3417 Sherman Drive Beech Grove. Indiana 46107 a Tel 317.780.1555 Fax 317.780.6525 1 Ht UHIIaINAL DUCUM!NT HAS A WHITE REFLECTIVE WATERMARK ON THE BACK. HOLD AT AN ANGLE TO VIEW. DO NOT CASH IF NOT PRESENT. A REGIONS 'MORGAN KEEGAN s, TRUST TRUST. DEPARTMENT; 61:569 CHECKS NO. 5161092 PARCEL 3 (TAX ID,' 17- 13 -1,1 -0 620 P.O. BOX 830688. DAT BIRMINGHAM, AL 35283 -0688 PAYMENT OF REQUISITION NO. 13 DTD 6 -12 -07 06/15/07 CARMEL COIT 2006 CF- CONSTRUCTION CHECK NUMBER: 5161092 ACCOUNT NUMBER: 81-9528-06-8 ONLY 1sflflfl®® ****$15,000.00 PAY IN FIFTEEN THOUSAND DOLLARS AND ZERO CENTS TO THE THERESA S. COOKE CHECK VOID AFTER 6 MONTHS ORDER C/O JILL NEWPORT, CROSSROAD ENGINEER REGIONS BANK BIRMINGHAM, AL OF 7 11° 5 L6L09211° 1:0620056901: 03 00 234811° P c p ALA REV -29 Code N/A STATEMENT OF THE BASIS FOR JUST COMPENSATION 1. This is a written statement of, and summary of the basis for, the amount established through a valuation process as just compensation for the purchase of this right -of -way for highway purposes. The amount set forth in Item 5 below is not less than the approved estimate of value. Public Law 91 -646 provides that this value disregards any decrease or increase in fair market value of the property prior to the date of valuation caused by the public improvement for which the property is acquired other than physical deterioration within reasonable control of the owner. 2. The legal description of this acquisition is set forth in the instrument of conveyance in the following identified parcel and this acquisition is identified in the Acquiring Agency's recorded as: Project 06 -18 Pennsylvania St Parcel 3 Road 103` 106 City /County Hamilton Pennsylvania Owner(s) Theresa S. Cooke 3. The area and type of interest being acquired: 0.034 Acres, permanent right -of -way The amount in Item 5 below includes payment for the purchase of all interests in the real property and no separately held interest is being acquired separately in whole or part, except as may be explained in Item 8 below. 4. This acquisition is (check one) a. A total acquisition of the real property b. (X) A partial acquisition of the real property. 5. The Agency's Offer: Just compensation has been determined to be and the Acquiring Agency's offer for the purchase of this real property is as follows: a. Total Land, Land Improvements and Buildings $10,500 b. Severance Damages (i.e.: Setback, Loss in Value to the Residues, etc. $NA c Other Damages (Itemize) Cost -to -Cure Estimate $NA d Temporary Right -of -Way $NA 0 Total Just Compensation offered for this Acquisition is: $10,500 6. The amount in Item 5 may include payment for the purchase of certain buildings and improvements and their ownership shall pass to the Acquiring Agency. These buildings and improvements are identified as follows: 7. The amount in Item 5 above may include payment for the purchase of certain Land Improvements, Fixtures, Equipment, Machinery, Signs, Etc., and their ownership shall pass to the Acquiring Agency. These items are identified as follows: 8. Items owned by others (i.e.: lessee, tenants, etc.) included in Item 5 above are identified as follows: 9. Remarks: Approved for negotiations Date Signature Form 36551 (Rev. 3/96) Acquiring Agency: The City of Carmel