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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" MCDOT TT0497 Olive Avenue (Citrus Road to Olive 1. Project Name Avenue) 2. Item No. D23349 3. APN 501-05-006G, 0060, 006F 4. Name of Relocatee Desert Forrest Nursery, LLC — Nursery Relocation 5. Type of Property a. Dwelling El b. Business El Nursery Relocation c. Non-Profit Organization 6. Owner [S] 303 Investment Holdings, LLC 7. Tenant El Desert Forrest Nursery, LLC 8. Relocation Reimbursement Entitlement of: $2,000,000.00 RECOMMENDED FOR APPROVAL: ACCEPTED AND APPROVED: MARICOPA REAL ESTATE DIVISION BOARD OF SUPERVISORS OF MARICOPA COUNTY ,/14/ heir. Real Property Branch Manager, Date Chairman of the Board Real Estate Division 10 6' ATTEST: ate 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 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: TT0497 Olive Avenue (Citrus Road to Cotton Lane) Item Number: D23349 APN: 501-05-006G, 006C, 006F Name: 303 Investment Holdings, LLC/Desert Forrest Nursery, LLC Address: 16752 West Olive Ave. 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 $1,972,500.00 D. Actual Business Storage E. Business Direct Loss F. Actual Business Searching $2,500 G. Fixed Business $25,000 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) $2,000,000.00 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) $0.00 5. Sum approved for payment: $2,000,000.00 REMARKS: Date: Relocation Officer DWrielisab 516/02