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Maricopa County Department of Transportation Real Estate Department 2801 West Durango Street • Phoenix, Arizona 85009-6399 Telephone (602) 506-4744 • Fax (602) 506-4161 RELOCATION ASSISTANCE ENTITLEMENTS "Authorization for Payment Form" 1. Project Name MCDOT-TT0347 Northern Parkway 115th Avenue 2. Item No. DD2250 T-2 3. APN 501-46-005N 4. Name of Relocatee Pioneer Landscaping Materials, Inc. 5. Type of Property a. Dwelling b. Business Z Landscape Yard c. Non-Profit Organization 6, Owner El Dirt 101-Investments 7. Tenant Z Pioneer Landscaping Materials, Inc. 8. Relocation Reimbursement Entitlement of: $100,000,00 RECOMMENDED FOR APPROVAL: ACCEPTED AND APPROVED: MARICOPA REAL ESTATE DIVISION BOARD OF SUPERVISORS OF MAR1COPA COUNTY Real Prowfty Manager, Date Chairman of the Board Real Estate Department ATTEST: 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: 602-506-1421 Fax: 602-506-4161 Maricopa County Department of Transportation Public Works 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: MCDOT-TT0347 Northern Parkway 115 th Avenue Item Number: DD2250 T-2 APN: 501-46-005N Name: Pioneer Landscaping Materials, Inc Address: 11550 W. Northern Ave City: Goodyear, Arizona 85307 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 72,500.00 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 Farm Direct Loss J. Actual Farm Storage K. Actual Farm Searching L. Fixed Farm TOTAL (sum of A through L, as they apply) $100,000.00 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) $0.00 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) 5. Sum approved for payment: $100,000.00 REMARKS: Date: Tange4Diaz Relocation Officer DWM/sab 516/02