(insert date)1 NCTCOG 2006 Sustainable Development Call for Projects Notice of Intent to Buy Reporting Form Please use the following slides to provide NCTCOG staff with the information requested in Section 4.1 of the Interlocal Agreement. Please direct any questions to Patrick Mandapaka at (817) or Project Name: (Insert project name) Public Sponsor: (Insert public sponsor name) Primary Project Contact Information: Name: Phone:

(insert date)2 Estimated land acquisition date: (insert) Estimated land unbanking date*: (insert) RTC Local Funds: (insert) Local match: (insert) Total project cost: (insert) *Note: To complete the unbanking date, please provide the estimated time period that an activity will occur related to the property such as its sale or lease to private sector, a decision is made to be kept for public use, or any other transactions on the land. NCTCOG 2006 Sustainable Development Call for Projects Project Information

(insert date)3 (Please insert a map identifying all parcels to be acquired here. The map should clearly indicate the parcel numbers for each parcel to be acquired. Please highlight parcels for which RTC Local Funds will be used. ) NCTCOG 2006 Sustainable Development Call for Projects Landbanking Parcel Map

(insert date)4 Parcel’s Tax ID number Current Land UseExisting StructuresCurrent Zoning (insert parcel #)(insert land use)(insert Type of Structures)(insert Current Zoning) (insert parcel #)(insert land use)(insert Type of Structures)(insert Current Zoning) (insert parcel #)(insert land use)(insert Type of Structures)(insert Current Zoning) (insert parcel #)(insert land use)(insert Type of Structures)(insert Current Zoning) (insert parcel #)(insert land use)(insert Type of Structures)(insert Current Zoning) (insert parcel #)(insert land use)(insert Type of Structures)(insert Current Zoning) (insert parcel #)(insert land use)(insert Type of Structures)(insert Current Zoning) (insert parcel #)(insert land use)(insert Type of Structures)(insert Current Zoning) (insert parcel #)(insert land use)(insert Type of Structures)(insert Current Zoning) Please complete the information for all parcels to be acquired, continue on additional slides as necessary. Please include the year of the appraisal data Parcel data should correlate with parcel map on slide #2. NCTCOG 2006 Sustainable Development Call for Projects Appraisal Data for Landbanking Project Parcels

(insert date)5 Parcel’s Tax ID number List of Deed Restrictions List of Utility Easements List of Other Regulatory Restrictions (insert parcel #)(insert Deed Restrictions)(insert Utility Easements)(insert Restrictions) (insert parcel #)(insert Deed Restrictions)(insert Utility Easements)(insert Restrictions) (insert parcel #)(insert Deed Restrictions)(insert Utility Easements)(insert Restrictions) (insert parcel #)(insert Deed Restrictions)(insert Utility Easements)(insert Restrictions) (insert parcel #)(insert Deed Restrictions)(insert Utility Easements)(insert Restrictions) (insert parcel #)(insert Deed Restrictions)(insert Utility Easements)(insert Restrictions) (insert parcel #)(insert Deed Restrictions)(insert Utility Easements)(insert Restrictions) (insert parcel #)(insert Deed Restrictions)(insert Utility Easements)(insert Restrictions) (insert parcel #)(insert Deed Restrictions)(insert Utility Easements)(insert Restrictions) Please complete the information for all parcels to be acquired, continue on additional slides as necessary. Parcel data should correlate with parcel map on slide #2. NCTCOG 2006 Sustainable Development Call for Projects Appraisal Data for Landbanking Project Parcels

(insert date)6 Parcel’s Tax ID number Pending or Threatened Litigation Special Assessment(s) (insert parcel #)(insert Pending or Threatened Litigation)(insert Special Assessment(s)) (insert parcel #)(insert Pending or Threatened Litigation)(insert Special Assessment(s)) (insert parcel #)(insert Pending or Threatened Litigation)(insert Special Assessment(s)) (insert parcel #)(insert Pending or Threatened Litigation)(insert Special Assessment(s)) (insert parcel #)(insert Pending or Threatened Litigation)(insert Special Assessment(s)) (insert parcel #)(insert Pending or Threatened Litigation)(insert Special Assessment(s)) (insert parcel #)(insert Pending or Threatened Litigation)(insert Special Assessment(s)) (insert parcel #)(insert Pending or Threatened Litigation)(insert Special Assessment(s)) (insert parcel #)(insert Pending or Threatened Litigation)(insert Special Assessment(s)) Please complete the information for all parcels to be acquired, continue on additional slides as necessary. Parcel data should correlate with parcel map on slide #2. NCTCOG 2006 Sustainable Development Call for Projects Current Use Data for Landbanking Project Parcels

(insert date)7 Parcel’s Tax ID number List of known Environmental Hazards or Conditions (insert parcel #)(insert Environmental Hazards or Conditions) (insert parcel #)(insert Environmental Hazards or Conditions) (insert parcel #)(insert Environmental Hazards or Conditions) (insert parcel #)(insert Environmental Hazards or Conditions) (insert parcel #)(insert Environmental Hazards or Conditions) (insert parcel #)(insert Environmental Hazards or Conditions) (insert parcel #)(insert Environmental Hazards or Conditions) (insert parcel #)(insert Environmental Hazards or Conditions) (insert parcel #)(insert Environmental Hazards or Conditions) Please complete the information for all parcels to be acquired, continue on additional slides as necessary. Parcel data should correlate with parcel map on slide #2. NCTCOG 2006 Sustainable Development Call for Projects Ultimate Land Use for Landbanking Project Parcels

(insert date)8 (Please insert the most current appraisal data for each of the parcel(s), that is no more than one year old, here. Please attach a copy of the official Appraisal Document. Please include the year of the appraisal data.) NCTCOG 2006 Sustainable Development Call for Projects Landbanking Pre-Purchase Appraisal Parcel’s Tax ID number Land Value Estimated Improvement Value Total Value (insert parcel #)(insert land value)(insert improvement value)(insert total value) (insert parcel #)(insert land value)(insert improvement value)(insert total value) (insert parcel #)(insert land value)(insert improvement value)(insert total value) (insert parcel #)(insert land value)(insert improvement value)(insert total value) (insert parcel #)(insert land value)(insert improvement value)(insert total value) (insert parcel #)(insert land value)(insert improvement value)(insert total value) (insert parcel #)(insert land value)(insert improvement value)(insert total value) (insert parcel #)(insert land value)(insert improvement value)(insert total value) TOTAL (insert total land value) (insert total improvement value) (insert total value)

(insert date)9 Parcel’s Tax ID number Intended Ultimate Land Use (insert parcel #)(insert Ultimate Land Use) (insert parcel #)(insert Ultimate Land Use) (insert parcel #)(insert Ultimate Land Use) (insert parcel #)(insert Ultimate Land Use) (insert parcel #)(insert Ultimate Land Use) (insert parcel #)(insert Ultimate Land Use) (insert parcel #)(insert Ultimate Land Use) (insert parcel #)(insert Ultimate Land Use) (insert parcel #)(insert Ultimate Land Use) Please complete the information for all parcels to be acquired, continue on additional slides as necessary. Parcel data should correlate with parcel map on slide #2. NCTCOG 2006 Sustainable Development Call for Projects Ultimate Land Use for Landbanking Project Parcels

(insert date)10 Please provide a site map of the future land use if known. NCTCOG 2006 Sustainable Development Call for Projects Ultimate Land Use for Landbanking Project Parcels

(insert date)11 Parcel One (Required) (Please insert a description of the place from which the photo was taken here including the address and direction the photo was taken.) (insert date photo was taken) NCTCOG 2006 Sustainable Development Call for Projects Project Photos Please include a photo slide for each parcel to be acquired Please duplicate as needed. (insert photo)