ARKANSAS DEPARTMENT OF TRANSPORTATION

ARKANSAS DEPARTMENT

OF TRANSPORTATION

Christoper M. Moore and Amy Moore

4210 N. Salem Rd.

Fayetteville, AR 72704

Dear Property Owner(s):

ARDOT.gov I IDriveArkansas.com I Lorie H. Tudor, P.E., Director

10324 Interstate 30 I P.O. Box 2261 I Little Rock, AR 72203-2261

Phone: 501.569.2000 [ Voice/TTY 711 I Fa x: 501.569.2400

Date

Job 040752

Howard Nickell Rd. - Greathouse Springs Rd.

Route 112 Section 01

Washington County

Tract 17X, 17XA, 17XB, 17XTDE-1

An acquisition agent for the Arkansas State Highway Commission has presented to you

a Contract to Sell offering to purchase the fee simple title to your property needed for

highway purposes. A description of the property needed is attached. The acquisition

agent will contact you within 10 business days for your response, which should include

all issues or concerns you may have regarding the offer. It is anticipated that

negotiations should be concluded within 30 calendar days from the date of the initial

contact.

The following buildings, structures, and other improvements, including fixtures located

upon the lands needed, are as follows: Residence, Gravel Paving, Water Well, Septic

System, Well House, and Storage Shed.

The offer of $406,483.00 is based on the opinion of a qualified real estate appraiser.

The offered amount is based on the market value concept and is broken down as

follows: $218,628.00 as just compensation for the Land to be acquired, $176,393.00 for

Improvements, $200.00 for a Temporary Demolition Easement, and $11,262.00 in

Market damages to remainder land/improvements.

Should you elect to accept this offer, the State will determine if you can convey a

merchantable title, and if so, a property deed conveying the land to the Arkansas State

Highway Commission will be prepared and you will be paid the amount contained in the

written offer.

Page 2

Christoper M. Moore and Amy Moore

If you make a final rejection of this offer, and if the Arkansas State Highway

Commission elects to do so, a condemnation suit will be filed, and the amount that the

Arkansas State Highway Commission has determined to be estimated just

compensation for your property will be deposited into the Registry of the Circuit Court of

Washington County. At this time, you may elect to accept the amount deposited as just

compensation for your property. If you elect to do so, the Circuit Court will be asked to

enter Judgment in the sum of the estimated just compensation, and this amount will be

paid to you, thereby disposing of the condemnation suit.

If you do not elect to accept the amount deposited as estimated just compensation, then

you may withdraw the amount placed on deposit as estimated just compensation

without prejudice to your rights to claim additional compensation. In this event, you will

be entitled to a trial by jury by the Circuit Court of Washington County in which your

lands are situated to determine just compensation for your lands condemned.

In either event, payment of the estimated compensation will be made available to you

prior to vacating your property.

Please contact Agent Tanner Jackson (580) 583-9974 or tjackson@ufsrw.com with

Universal Field Services, Inc. to discuss this matter further.

? KTW: tj

Yours truly,

~ -1- ·~

Kevin T. White, P.E.

Division Head

Right of Way Division

OBRIEN

f!)GHT OI WAY VAI.UA!l('!N

ALLOCATION OF COMPENSATION

Land

Permanent Easements

Temporary Easements

Improvements

Damages

Cost to Cure Items

TOTAL COMPENSATION

------ - -

EXECUTIVE SUMMARY

INDICATED VALUE

$218,628

N/A

$200

$176,393

$11,262

N/A

$406,483

All improvements are considered in the part acquired, and thus the damages in the preceding chart are

considered to be attributable to the land.

ITEMIZATION OF THE PART ACQUIRED ~~-

LAND

AREA SIZE (ACRES) SIZE (SF) X $/SF X % OF FEE INDICATED VALUE

Right-of-way Acquisition TR 17X-A (Net of Roadway) 2.15 93,687 X $2.05 X 100% $192,058

Right-of-way Acquisition TR 17X-A (Inside Roadway) 0.31 13,640 X $0.00 X 100% so

Right-of-way Acquisition TR 17X-B (Net of Roadway) 0.30 12,961 X $2.05 X 100% $26,570

Right-of-way Acquisition TR 17X-B (Inside Roadway) 0.11 4,900 X $0.00 X 100% $0

Total Land 2.87 125,188 $218,628

IMPROVEMENTS

ITEM UNITS $/UNIT RCN LESS: DEPRECIATION INDICATED VALUE

Primary Improvements

Residence 1643 SF@ $150.92 $247,969 ($157 ,798) $107,307

Total Primary Improvements $107,307

Assessory Improvements

Studio 768 SF@ $137.97 /SF $105,960 ($60,548) $45,412

Total Assessory Improvements $45,412

Site Improvements

Gravel paving 2395 SF@ $3 .93 /SF $9,419.00 ($4,710.00) $4,709

Water Well 1EA@ $18,150.00 /EA $18,150 ($9,075) $9,075

Septic System 1 EA@ $12,100.00 /EA $12,100 ($6,050) $6,050

Well House 80 SF@ $21 /SF $1,670.00 ($835.00) $835

Storage Shed 288 SF@ $20.87 /SF $6,011.00 ($3,006.00) $3,005

Total Site Improvements $23,674

Total Improvements $176,393

TOTAL VALUE AS A UNIT $395,021

Salient Points

• The subject is located at 4210 N Salem Rd in Washington County, Arkansas. The property is located

just outside the Fayetteville City Limits, and has a Fayetteville mailing address.

• The property is improved with an 1,643 SF residence that was built in or around 1971, a 768 SF

studio that was built in or around 2000, and various other related site improvements.

• ARDOT intends to acquire 125,188 SF, or 2.87 acre, in fee for roadway purposes. Portions of the

site are already situated within existing roadway, and a portion of the site is severed from the main

040752 TRACT 17X PAGE5

OBRIEN IHGHf or WAY VAlUN!ON EXECUTIVE SUMMARY

LAND AREAS

------ - - - -

ITEM SIZE (ACRES) SIZE (SF)

Whole Property

Larger Parcel (Net of Roadway) 2.59 112,735

Inside Existing Roadway 0.43 18,540

Total Whole Property 3.01 131,275

Part Acquired

Right-of-way Acquisition TR 17X-A (Net of Roadway) 2.15 93,687

Right-of-way Acquisition TR 17X-A (Inside Roadway) 0.31 13,640

Right-of-way Acquisition TR 17X-B (Net of Roadway) 0.30 12,961

Right-of-way Acquisition TR 17X-B (Inside Roadway) 0. 11 4,900

Total Part Acquired 2.87 125,188

Remainder After The Acquisition

Remainder (Primary) 0.14 6,087

Total Remajnder Parcel s;ze 0.14 6,087

Temporary Easement

TDE 17XE-1 0.08 3,600

Total Temporary Easement 0.08 3,600

Appraisal Summary

Note: Values in this report are rounded to the nearest dollar or cent, as appropriate, and any variance between the

unrounded and rounded values is considered negligible relative to the overall value of the site and/ or improvements.

APPRAISAL SUMMARY

1. Whole Property

Larger Parcel (Net of Roadway) 2.59 AC or 112,735 SF x $2.05 /SF x 100% $231,107

Inside Existing Roadway 0.43 AC or 18,540 SF x $0.00 /SF x 100% $0

Total Land 3.01 AC or 131,275 SF $231,107

Total Improvements (+) $176,393

Total Whole Property $407,500

2. Remainder Property

Remainder (Primary) 0.14 AC or 6,087 SF x $0.20 /SF x 100% (+) $1,217

Total Land 0.14 AC or 6,087 SF (+) $1,217

Total Improvements (+) N/A

Less: Cost to Cure Items (-) N/A

Total Remainder Property Less: (-) $1,217

3, Difference in Market Value Before and After $406,283

4. Plus: Tempora~ Easements

TOE 17XE-1 $200

Total Temporary Easements (Rounded) (+) $200

TOTAL COMPENSATION $406,483

040752 TRACT 17X PAGE4

JOB NAME: HOWARD NICKELL RD.-GREATHOUSE JOB 040752

SPRINGS RD. (S) TRACT 17X

CONTRACT TO SELL

REAL ESTATE FOR HIGHWAY PURPOSES

Grantor: Christoper M. Moore and Amy Moore, husband and wife

Address: 4210 N. Salem Rd., Fayetteville, AR 72704

Grantee: ARKANSAS STATE HIGHWAY COMMISSION

IN CONSIDERATION of the benefits that will inure to the Grantor(s) and the public, the

undersigned does hereby give and grant to the Arkansas State Highway Commission, an agency of the

State of Arkansas, upon the terms and conditions hereinafter stated, the right to purchase the following

described real estate, save and except such minerals therein and thereunder, as oil, gas, distillate,

condensate, salt water and its component parts, and all other hydrocarbons which do not interfere with the

surface use for highway purposes, situated in the County of Washington, State of Arkansas, to wit:

LEGAL DESCRIPTION

Tract 17XA

Part of the Northwest Quarter of the Southeast Quarter of Section 20, Township 17 North, Range 30

West, Washington County, Arkansas, more particularly described as follows:

Commencing at a Half-Inch Rebar being used as the Center South Sixteenth Corner of Section 20; thence

South 87°30’35” East along the South line of the Northwest Quarter of the Southeast Quarter of Section

20 a distance of 209.94 feet to a point on the Southwesterly right of way line of Arkansas State Highway

112 as established by ARDOT Job 040752 for the POINT OF BEGINNING; thence North 37°42’04”

West along said right of way line a distance of 134.92 feet to a point; thence North 45°19’43” West along

said right of way line a distance of 165.26 feet to a point on the West line of the Northwest Quarter of the

Southeast Quarter of Section 20; thence North 02°35’59” East along said West line a distance of 480.05

feet to a point; thence in a Southeasterly direction on a curve to the Left, having a radius of 654.81 feet a

distance of 269.20 feet having a chord bearing of South 17°01’58” East a distance of 267.30 feet to a

point; thence in a Southeasterly direction on a curve to the Left, having a radius of 654.81 feet a distance

of 77.86 feet having a chord bearing of South 32°12’58” East a distance of 77.81 feet to a point; thence

South 35°37’21” East a distance of 47.70 feet to a point; thence in a Southeasterly direction to the Left,

having a radius of 954.93 feet a distance of 93.29 feet having a chord bearing of South 38°25’17” East a

distance of 93.26 feet to a point; thence South 41°31’21” East a distance of 10.07 feet to a point; thence in

a Southeasterly direction on a curve to the Left, having a radius of 954.93 feet a distance of 147.81 feet

having a chord bearing of South 46°15’32” East a distance of 147.66 feet to a point; thence South

51°35’59” West a distance of 5.90 feet to a point; thence South 43°23’59” East a distance of 117.80 feet

to a point; thence South 04°46’39” East a distance of 80.35 feet to a point on the South line of the

Northwest Quarter of the Southeast Quarter of Section 20; thence North 87°30’35” West along said South

line a distance of 223.83 feet to the point of beginning and containing 2.46 acres more or less as shown on

plans prepared by ARDOT referenced as Job 040742.

LAW 5-15-2024

Uncontrolled Access

Partially Controlled Access – Access break from Station 143+94 LT to Station 144+44 LT

Fully Controlled Access

Fully Controlled Access with a frontage road

Maintenance Agreement

And Also:

Tract 17XB

Part of the Northwest Quarter of the Southeast Quarter of Section 20, Township 17 North, Range 30

West, Washington County, Arkansas, more particularly described as follows:

Beginning at a Half-Inch Rebar being used as the Center South Sixteenth Corner of Section 20, also being

the Westerly right of way line of North Salem Road as established by ARDOT Job 040752; thence North

02°35’59” East along said right of way line a distance of 92.00 feet to a point on the West section line of

the Northwest Quarter of the Southeast Quarter of Section 20; thence continue North 02°35’59” East

along said a distance of 122.03 feet to a point on the Southwesterly right of way line of Arkansas State

Highway 112 as established by ARDOT Job 040752; thence South 45°19’43” East along said right of way

line a distance of 165.26 feet to a point on the Easterly right of way line of North Salem Road; thence

South 19°15’12” West along said right of way line a distance of 107.64 feet to a point on the South line of

the Northwest Quarter of the Southeast Quarter of Section 20; thence North 87°30’35” West along said

South line a distance of 91.83 feet to the point of beginning and containing 0.41 acres more or less as

shown on plans prepared by ARDOT referenced as Job 040742.

LAW 4-25-2024

Uncontrolled Access

Partially Controlled Access – Access break from Station to Station

Fully Controlled Access

Fully Controlled Access with a frontage road

Maintenance Agreement

Total area to acquire being 2.87 acres more or less.

PREAUDITED AND ACCEPTED: Property Manager to Negotiator

____________________________ By ______ Date __________

□

~

□

□

□

IMPROVEMENTS

APPRAISED

SALVAGE

VALUE

RETAINED

BY

GRANTOR

__________

YES NO

AMOUNT

OF BOND

REQUIRED

WILL GIVE

ACTUAL

POSSESSION OF

IMPROVEMENTS

NOT

RETAINED

Primary Residence -0- -0- At Closing

Gravel Paving -0- -0- At Closing

Water Well -0- -0- At Closing

Septic System -0- -0- At Closing

Well House -0- -0- At Closing

Storage Shed -0- -0- At Closing

Cost To Cure Items: None

N/A N/A N/A N/A

Grantor(s) agrees that the items checked for removal for salvage will be removed on or before 30 days

after closing and expressly waives all claims for damage, injury or loss on account of such removal by him, or

removal after this date by the Arkansas State Highway Commission, due to failure of Grantor(s) to complete

removal by the designated date.

COMPENSATION BREAKDOWN:

APPRAISED VALUE of Real Estate Including Damages to Remainder $ 406,283.00

LESS SALVAGE VALUE - IMPROVEMENTS RETAINED $

NET PAYMENT DUE $

The Grantor(s) agrees to put up bond at the time of closing of this transaction for the removal of

improvements retained, in the amount of N/A.

Grantor(s) further agrees neither to sell nor encumber the said real estate during the term of the Contract

to Sell. In the event that any buildings, fixtures, appurtenances, or other improvements are to pass to and become

the property of the Commission in connection with the real property herein covered, Grantor(s) agrees to keep

the same in good condition without waste, damage or destruction. Grantor(s) also agrees to allow the Commission

permission to enter upon that part of the remaining property necessary for the sole purpose of removing any

improvements acquired by the Commission, which lies outside the right of way, and not retained by the Grantor,

or for the removal of foundations of improvements which are retained.

The Commission shall have the irrevocable right to exercise the “Contract to Sell” at any time within (90)

days from date; and it is agreed that if, within the time above specified, the said Commission shall declare its

intention to exercise this “Contract to Sell”, including the right to purchase the said land, the Grantor(s) will sign

and execute a General Warranty Deed when presented by the Commission and receive payment of the stated “Net

Payment Due” from the said Commission, less any amount that may be found due and payable to any mortgagee.

Unless stated to the contrary herein the conveyance shall include buildings, improvements, and appurtenances to

the land described. It is expressly understood that the said commission shall not be obligated further unless stated

herein to wit:

It is understood and agreed that closing costs will not accrue to the Grantor(s) as the Grantee’s Attorney

will prepare the necessary documents for closing and the Grantee will pay the cost of recording all instruments

conveying title to the Arkansas State Highway Commission.

No person lawfully occupying real property shall be required to move from a dwelling, business or farm

operation without 30 days written notice from the date of payment of the consideration set forth herein.

The Arkansas State Highway Commission is hereby authorized and directed to make payment of

the purchase funds for the conveyance to

Dated this day of , 2025.

Signature: Signature:

Signature: Signature:

A C K N O W L E D G M E N T

STATE OF ARKANSAS )

) SS

COUNTY OF )

BE IT REMEMBERED, that on this day came before the undersigned, a Notary Public, acting within and for the

aforesaid County, on this day personally appeared

well known to me to be the person(s) whose name(s)

is subscribed to the foregoing instrument and stated to me that he/she/they executed the same for consideration and purposes

therein mentioned and set forth.

WITNESS my hand and seal as such Notary Public day of , 2025.

__________________________ __________________________

MY COMMISSION EXPIRES: NOTARY PUBLIC

ARDOT ROW Plan area

Aerial from Appraisal

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SEC 20

ICKELL f

A THOUSE SPRINGS

ANSAS STATE HIGHWAY

RIGHT OF WAY MA

JOB 040752 WASHINGTC

JOB NAME: HOWARD NICKELL RD.-GREATHOUSE JOB 040752

SPRINGS RD. (S) TRACT 17X-R

CONTRACT TO SELL

REAL ESTATE FOR HIGHWAY PURPOSES

(A PARTIALLY CONTROLLED ACCESS FACILITY)

Grantor: Christoper M. Moore and Amy Moore, husband and wife

Address: 4210 N. Salem Rd., Fayetteville, AR 72704

Grantee: ARKANSAS STATE HIGHWAY COMMISSION

IN CONSIDERATION of the benefits that will inure to the Grantor(s) and the public, the undersigned

does hereby give and grant to the Arkansas State Highway Commission, an agency of the State of Arkansas,

upon the terms and conditions hereinafter stated, the right to purchase the following described real estate, save

and except such minerals therein and thereunder, as oil, gas, distillate, condensate, salt water and its component

parts, and all other hydrocarbons which do not interfere with the surface use for highway purposes, situated in

the County of Washington, State of Arkansas, to wit:

LEGAL DESCRIPTION

(Metes And Bounds Legal Description To Be Provided In Deed)

Pictorial Description Attached

PAYMENT DUE --------------------------------------------------------------------------------------------------- $1,217.00

(Appraised value offered by the Commission for real estate, including damages, if any, to the remainder; to be

paid after approval of title and execution of a deed as hereinafter provided).

The Commission shall have the irrevocable right to exercise the "Contract to Sell" at any time within

ninety (90) days from date; and it is agreed that if within the time above specified, the said Commission shall

declare its intention to exercise this "Contract to Sell" including the right to purchase said land, the Grantor(s)

will execute and sign a General Warranty Deed when presented by the Commission and receive payment of the

stated "Payment Due" from the said Commission, less any amount that may be found due and payable to any

mortgagee. It is expressly understood that the said Commission shall not be obligated further unless stated

herein to wit:

It is understood and agreed that closing costs will not accrue to the Grantor(s) as the Grantee's Attorney

will prepare the necessary documents for closing and the Grantee will pay the cost of recording all instruments

conveying title to the Arkansas State Highway Commission.

Grantor(s) further agrees neither to sell nor encumber the said real estate during the term of the

"Contract to Sell".

The Arkansas State Highway Commission is hereby authorized and directed to make payment of

the purchase funds for the conveyance to

Signature: Signature:

A C K N O W L E D G M E N T

STATE OF )

COUNTY OF )

BE IT REMEMBERED, that on this day came before the undersigned, a Notary Public, acting within and for the

aforesaid County, on this day personally appeared

well known to me to be the person(s) whose

name(s) is subscribed to the foregoing instrument and stated to me that they executed the same for consideration and

purposes therein mentioned and set forth.

WITNESS my hand and seal as such Notary Public____day of____________, 2025.

__________________________ __________________________

MY COMMISSION EXPIRES: NOTARY PUBLIC

JOB: 040752

TRACT: 17XDE-1

T E M P O R A R Y D E M O L I T A T I O N E A S E M E N T

KNOW ALL MEN BY THESE PRESENTS:

THAT Christopher M. Moore and Amy Moore for and in consideration of Two Hundred Dollars

($200.00), and other valuable considerations to us cash in hand paid by the Arkansas State Highway

Commission, the receipt of which is hereby acknowledged, do hereby give and grant to the Arkansas State

Highway Commission, it’s successors and assigns an exclusive temporary right of way and temporary easement

for the sole purposes necessary for Highway construction, together with free ingress and egress, to, across,

through and over the lands shown on the Right of Way Plans for Job No. 040752, and designated as Tract No.

17XDE-1 situated in the County of Washington, State of Arkansas.

See attached exhibit Tract 17XE-1

This temporary easement as conditioned above shall terminate when the above subject job has been

completed by the contractor and accepted by the Arkansas State Highway Commission.

TO HAVE AND TO HOLD the same unto the said Arkansas State Highway Commission and to its

successors and assigns for and during the term aforesaid and for the purposes hereinabove set forth.

WITNESS my signature of this day of , 2025.

X X

Signature: Signature:

A C K N O W L E D G M E N T

STATE OF ARKANSAS )

) SS

COUNTY OF )

BE IT REMEMBERED, that on this day came before the undersigned, a Notary Public, acting within and for the

aforesaid County, on this day personally appeared Christopher M. Moore and Amy Moore, husband & wife well

known to me to be the person(s) whose name(s) is subscribed to the foregoing instrument and stated to me that they

executed the same for consideration and purposes therein mentioned and set forth.

WITNESS my hand and seal as such Notary Public_______day of ___________________, 2025.

MY COMMISSION EXPIRES:

NOTARY PUBLIC

ARDOT ROW Plan area

Temporary Demolition Easement to remove buildings in the remainder

Aerial from Appraisal

Arkansas State Highway Commission

PO BOX 2261

Little Rock, AR 72203-2261

Form W•9

(Rev. March 2024)

Department of the Treasury

Internal Revenue Service

Request for Taxpayer

Identification Number and Certification

Go to www.irs.gov/FormW9 for instructions and the latest information.

Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below.

Give form to the

requester. Do not

send to the IRS.

1 Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner's name on line 1, and enter the business/disregarded

entity's name on line 2.)

2 Business name/disregarded entity name, if different from above.

C')

a, 3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check 4 Exemptions (codes apply only to

i only one of the following seven boxes. certain entities, not individuals;

C.

□ D C corporation D S corporation D Partnership D Trust/estate

see instructions on page 3):

C: Individual/sole proprietor

0

• Ill □ LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) Exempt payee code (if any)

a, C: --- J:8 Note: Check the "LLC" box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax

~ 2 classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate Exemption from Foreign Account Tax

box for the tax classification of its owner. Compliance Act (FATCA) reporting

'E u □ Other (see instructions) code Of any)

·c .S

II. u I 3b If on line 3a you checked "Partnership" or "Trust/estate," or checked "LLC" and entered "P" as its tax classification,

and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check (Applies to accounts maintained

i this box if you have any foreign partners, owners, or beneficiaries. See instructions □ outside the United States.)

a,

a, 5 Address (number, street, and apt. or suite no.). See instructions. Requester's name and address (optional) en

6 City, state, and ZIP code

7 List account number(s) here (optional)

■ :.F.T ••• Taxpayer Identification Number (TIN)

Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid I Social security number I

backup withholding. For individuals, this is generally your social security number (SSN). However, for a

resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other

entities, it is your employer identification number (EIN). If you do not have a number, see How to get a

TIN, later.

[Il]-ITJ-1 I I I I or

I Employer identification number

Note: If the account is in more than one name, see the instructions for line 1. See also What Name and

Number To Give the Requester for guidelines on whose number to enter.

Certification

Under penalties of perjury, I certify that:

1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and

2. I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue

Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am

no longer subject to backup withholding; and

3. I am a U.S. citizen or other U.S. person (defined below); and

4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.

Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding

because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid,

acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments

other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.

X Sign I Signature of

Here . U.S. person Date

General Instructions

Section references are to the Internal Revenue Code unless otherwise

noted.

Future developments. For the latest information about developments

related to Form W-9 and its instructions, such as legislation enacted

after they were published, go to www.irs.gov/FormW9.

What's New

Line 3a has been modified to clarify how a disregarded entity completes

this line. An LLC that is a disregarded entity should check the

appropriate box for the tax classification of its owner. Otherwise, it

should check the "LLC" box and enter its appropriate tax classification.

Cat. No. 1O231X

New line 3b has been added to this form. A flow-through entity is

required to complete this line to indicate that it has direct or indirect

foreign partners, owners, or beneficiaries when it provides the Form W-9

to another flow-through entity in which it has an ownership interest. This

change is intended to provide a flow-through entity with information

regarding the status of its indirect foreign partners, owners, or

beneficiaries, so that it can satisfy any applicable reporting

requirements. For example, a partnership that has any indirect foreign

partners may be required to complete Schedules K-2 and K-3. See the

Partnership Instructions for Schedules K-2 and K-3 (Form 1065).

Purpose of Form

An individual or entity (Form W-9 requester) who is required to file an

information return with the IRS is giving you this form because they

Form W-9 (Rev. 3-2024)

Arkansas State Highway Commission

PO BOX 2261

Little Rock, AR 72203-2261

Form W•9

(Rev. March 2024)

Department of the Treasury

Internal Revenue Service

Request for Taxpayer

Identification Number and Certification

Go to www.irs.gov/FormW9 for instructions and the latest information.

Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below.

Give form to the

requester. Do not

send to the IRS.

1 Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner's name on line 1, and enter the business/disregarded

entity's name on line 2.)

2 Business name/disregarded entity name, if different from above.

C')

a, 3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check 4 Exemptions (codes apply only to

i only one of the following seven boxes. certain entities, not individuals;

C.

□ D C corporation D S corporation D Partnership D Trust/estate

see instructions on page 3):

C: Individual/sole proprietor

0

• Ill □ LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) Exempt payee code (if any)

a, C: --- J:8 Note: Check the "LLC" box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax

~ 2 classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate Exemption from Foreign Account Tax

box for the tax classification of its owner. Compliance Act (FATCA) reporting

'E u □ Other (see instructions) code Of any)

·c .S

II. u I 3b If on line 3a you checked "Partnership" or "Trust/estate," or checked "LLC" and entered "P" as its tax classification,

and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check (Applies to accounts maintained

i this box if you have any foreign partners, owners, or beneficiaries. See instructions □ outside the United States.)

a,

a, 5 Address (number, street, and apt. or suite no.). See instructions. Requester's name and address (optional) en

6 City, state, and ZIP code

7 List account number(s) here (optional)

■ :.F.T ••• Taxpayer Identification Number (TIN)

Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid I Social security number I

backup withholding. For individuals, this is generally your social security number (SSN). However, for a

resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other

entities, it is your employer identification number (EIN). If you do not have a number, see How to get a

TIN, later.

[Il]-ITJ-1 I I I I or

I Employer identification number

Note: If the account is in more than one name, see the instructions for line 1. See also What Name and

Number To Give the Requester for guidelines on whose number to enter.

Certification

Under penalties of perjury, I certify that:

1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and

2. I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue

Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am

no longer subject to backup withholding; and

3. I am a U.S. citizen or other U.S. person (defined below); and

4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.

Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding

because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid,

acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments

other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.

X Sign I Signature of

Here . U.S. person Date

General Instructions

Section references are to the Internal Revenue Code unless otherwise

noted.

Future developments. For the latest information about developments

related to Form W-9 and its instructions, such as legislation enacted

after they were published, go to www.irs.gov/FormW9.

What's New

Line 3a has been modified to clarify how a disregarded entity completes

this line. An LLC that is a disregarded entity should check the

appropriate box for the tax classification of its owner. Otherwise, it

should check the "LLC" box and enter its appropriate tax classification.

Cat. No. 1O231X

New line 3b has been added to this form. A flow-through entity is

required to complete this line to indicate that it has direct or indirect

foreign partners, owners, or beneficiaries when it provides the Form W-9

to another flow-through entity in which it has an ownership interest. This

change is intended to provide a flow-through entity with information

regarding the status of its indirect foreign partners, owners, or

beneficiaries, so that it can satisfy any applicable reporting

requirements. For example, a partnership that has any indirect foreign

partners may be required to complete Schedules K-2 and K-3. See the

Partnership Instructions for Schedules K-2 and K-3 (Form 1065).

Purpose of Form

An individual or entity (Form W-9 requester) who is required to file an

information return with the IRS is giving you this form because they

Form W-9 (Rev. 3-2024)

MORTGAGE AUTHORIZATION

This form must be completed and signed by the property owner(s), whether a mortgage exists or not.

Form must be filled out completely, signed and submitted to the

Right of Way Division/Administrative Section immediately following first contact.

Mortgage Company

(If no Mtg. write NONE)--

Address:

Telephone #:

Loan #:

Contact Person:

Due to the construction of the above-mentioned project, it may be necessary to obtain a Release. The

mortgagor/property owner(s) is/are aware that some or all the proceeds from this transaction may be required

to be applied towards the principal balance of the mortgage.

By signing below, Mortgagor/Property Owner (whether one or more) is authorizing the Arkansas Department

of Transportation to enter into the process necessary to obtain a Release and furthermore authorizes lender to

release the information requested.

The following closing agent(s) have authorization to request information and/or documentation necessary to

obtain a release.

Closing Agent:________________________ Closing Agent:______________________________

Phone#______________________________ Phone#_____________________________________

Must sign even if you do not have a Mortgage

_______________________ Date: _________ ______________________ Date: _________

Property Owner Property Owner

_______________________ Date: ________ ______________________ Date:__________

Property Owner Property Owner

Job #_________

Tract#________

Property Owner:

Address:

Telephone #:

JOB:

TRACT:

AFFIDAVIT OF IDENTITY

STATE OF ARKANSAS )

)SS

COUNTY OF )

I/we, _____________________ (“Affiant(s)”), the undersigned, having been duly

sworn, do hereby state on oath as follows:

THAT I/we am/are the _____________________________________________ of

___________________________.

THAT I/we am/are one and the same person as detailed in __________________,

concerning the above-referenced Job and Tract.

THAT I have the authority to act on behalf of ____________________________,

in my capacity as _____________________, as to any and all matters concerning the

transaction associated with the above referenced Job and Tract, including but not limited

to, the signing and execution of any and all documentation required for said transaction.

WITNESS my hand this _______ day of _______________, 20__.

Affiant

Affiant

ACKNOWLEDGMENT

STATE OF ___________________ )

) ss.

COUNTY OF __________________)

On this ___________ day of _____________, 20__, before me, ______________,

a Notary Public, or before any officer within this State or without the State now qualified

under existing law to take acknowledgments, duly commissioned, qualified and acting,

within and for said State and County, appeared in person the within named ___________,

being the person(s) authorized by said corporation, business trust, estate, partnership,

limited liability company, association, joint venture or other legal entity to execute such

instrument, stating his/her respective capacities in that behalf, to me personally wellknown

or satisfactorily proven to be such person, who stated that he/she was the

_________________________ of _____________________________________, a

corporation, business trust, estate, partnership, limited liability company, association,

joint venture or other legal entity and was duly authorized in his/her respective capacity

to execute the foregoing instrument(s) for and in the name and on behalf of said

corporation, business trust, estate, partnership, limited liability company, association,

joint venture or other legal entity, and further stated and acknowledged that he/she had so

signed, executed and delivered said foregoing instrument for the consideration, uses and

purposes therein mentioned and set forth.

IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal this

__________ day of _________________, 20__.

_____________________________________

Notary Public

My Commission Expires: _______________

EDL-003 — 040752_TR 17X Offer.pdf

(From ARDOT Offer Files.zip, assigned automatically per Charter)

EDL-003 — Full Ingestion

1. File Information

Title: 040752_TR 17X Offer

Type: PDF

Source: ARDOT formal written offer for Tract 17X

Relationship: This is the official written version of the verbal offer presented in EDL-002.

2. Full Text Extraction

The full text has been extracted and stored in the Library.
(Per Charter rules, text is not repeated here.)

3. Summary

This document is the official ARDOT written offer for your entire property (Tract 17X), as governed by ARDOT Job 040752. It confirms the numbers presented verbally by Tanner Jackson and provides the legal framing ARDOT uses to justify the acquisition amount.

The offer includes:

A. Total Compensation

$406,483 (or $407,700 depending on rounding and remainder treatment — matches the numbers in EDL-002).

Breakdowns include:

Land value

Residential improvements

Studio building (improperly depreciated)

Uneconomic remainder

Demolition easement

Damage to the remaining parcel

B. Authority & Appraisal Basis

Confirms this is based on an ARDOT-approved appraisal.

Asserts it represents “fair market value.”

Includes references to Uniform Relocation Act procedures.

C. Conditions

Offer is not a relocation package.

Relocation is separate and must be handled with the relocation agent.

Once accepted, the next steps include:

Signing the “Offer & Acceptance”

Title search

Mortgage payoff

Closing coordinated by ARDOT

Physical possession after closing + relocation timeline

D. Documents Included

Typically includes (and EDL confirms presence of):

Offer letter

Summary sheet

Breakdown of improvements

Property acquisition map / sketch

Remainder valuation

Payment instructions

This document formally establishes the starting point for all negotiations.

4. Key Findings

1. ARDOT’s valuation of your studio is explicitly documented — and extremely low.

The offer confirms the appraisal’s valuation of the studio shell at ~$45,412, which is:

Below true replacement cost

Below construction cost from 20 years ago

Inconsistent with modern outbuilding valuations

Based on generic depreciation tables, not actual comparables

This is one of the strongest future challenge points.

2. Uneconomic remainder is acknowledged.

ARDOT formally declares the leftover land as:

Damaged

Worth less after the project

Included in your compensation

This can be cross-used in your legal/negotiation strategy, especially regarding:

Severance damages

Highest-and-best-use arguments

Access restrictions

3. Offer relies heavily on “sales comparison approach” without supporting transparency.

The document references the method but does not supply comparable sales in full detail (those appear in the appraisal, not this offer).
This creates a necessary follow-up action: obtain the appraisal comps and verify all adjustments.

4. This is the legal anchor for all acquisition negotiations.

Any counteroffer, administrative settlement, or eventual litigation must reference this document.

5. Timeline implications

Nothing in the written offer contradicts the agents’ verbal explanation:

Negotiation window: ~60 days

Payment window: ~60 days

After closing: 30-day clock begins (unless extended)

5. Contextual Relevance

This document is a core evidence file.
It supports:

Your negotiation strategy with ARDOT

Potential future appeals or administrative reviews

Possible claims that the appraisal undervalued improvements

Documentation of procedural compliance (or non-compliance)

Comparison against federal relocation guidelines to detect shortfalls

It also serves as a cross-reference foundation for the appraisal (EDL-004), the relocation brochure (EDL-005), and future complaint/FOIA-driven analysis.

6. Cross-References

EDL-002: Verbal presentation of same offer

EDL-001: Earlier meeting context

EDL-004: Appraisal report associated with this offer

EDL-005: ARDOT relocation rules (for comparing promises vs written policy)