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Maricopa County Department of Transportation Real Estate Division 2801 West Durango Street • Phoenix, Arizona 85009-6399 Telephone (602) 506-1421 • Fax (602) 506-4161 RELOCATION ASSISTANCE ENTITLEMENTS "Authorization for Payment Form" 1. Project Name TT0561 Olive Avenue (SR 303L to Sarival Avenue) 2. Item No. 023442 3. APN 501-05-006F 4. Name of Relocatee Rural/Metro Fire Dept., Inc, 5. Type of Property a. Dwelling Li b, Business E] Fire Station c, Non-Profit Organization Li 6. Owner Cromer, LLC 7. Tenant Rural/Metro Fire Dept., Inc. 8, Relocation Reimbursement Entitlement of: $177,500.00 RECOMMENDED FOR APPROVAL; ACCEPTED AND APPROVED: IVIARICOPA REAL ESTATE DIVISION BOARD OF SUPERVISORS OF MARICOPA COUNTY Chairman of the Board 62 e ATTEST: Date APPROVED AS TO FORM and within Clerk of the Board the powers and authority granted under the laws by the State of Arizona and Maricopa County: Date: Deputy County Attorney Date 2801 West Durango Street Phoenix, Arizona 85009 Phone: 602-506-1501 Fax; 602-506-4601 F00 - RELO 2 Mancopa County Department of Transportation Real Estate Division 2901 West Durango Street + Phoenix, Arizona 85009-6399 Telephone (602) 506-1421 • Fax (602) 506-4161 Determination of Relocation Benefits Due Applicant Project: TT0561 Olive Avenue (SR 303L to Sarival Avenue Item Number: D23442 APN: 501-05-006F Name: Rural/Metro Fire Dept., Inc. Address: 16805 West Olive Avenue City: Waddell, Arizona 85355 The following is a determination of relocation benefits due the above applicant under Public Law 91-646 as amended by Public Law 100-17. (In cases where all benefits due cannot be paid at one time such as in the case of annual rental payments, a record of payments will be set forth in the payment record at the end of this form.) 1. Moving Expenses: A. Actual Residential B. Fixed Residential C. Actual Business Moving $150,000.00 D. Actual Business Storage E. Business Direct Loss F. Actual Business Searching $ 2,500.00 G. Fixed Business $ 25,000.00 H. Actual Farm Moving I. Farm Direct Loss J. Actual Farm Storage K. Actual Farm Searching L. Fixed Farm TOTAL (sum of A through L, as they apply) $177,500,00 2. Replacement Housing Homeowners: A. Additional Cost of House B. Increased Interest C. Closing Costs TOTAL (sum of A through C, as they apply) $0.00 3. Replacement Housing Tenants: A. Supplemental Rental Payment B. Down Payment TOTAL (sum of A through B, as they apply) moo I Determination of Relocation Benefits Due Applicant Page 2 4, Incidental Expenses: A. Recording Fee B. Transfer Taxes C. Prepayment Costs D. Prorated Real Estate Taxes TOTAL (sum of A through D, as they apply) $0.00 5. Sum approved for payment: $177,500.00 REMARKS: The Relocation Section of the Real Estate Division is seeking advance approval by the Board of Supervisors to approve these funds for expenditure to enable it to respond to the needs of the displacee in a timely manner. These funds will be distributed in accordance with Federal Regulations, State Laws, and Local Government Policies regarding Relocation Assistance. Fe1wueu44 1D4 ZOO te