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CM-2006-005
POWELL, EBERT & SMOLIK, P.C. CERTIFIED PUBLIC ACCOUNTANTS Austin Custom Home Builders Joint Venture, et al Valuation Report on State Well 58-35-317 As of December 29, 2005 Form 8283 (Rev. 10-98) Page 2 Name(s) shown on your income tax return BCWB, Joint Venture Section B—Appraisal Summary—List in this section only items (or groups of similar items) for which you claimed a deduction of more than $5,000 per item or group. Exception. Report contributions of certain publicly traded securities only in Section A. If you donated art, you may have to attach the complete appraisal. See the Note in Part I below. Information on Donated Property—To be completed by the taxpayer and/or appraiser. Identifying number Part 1 4 Check type of property: 0 Art* (contribution of $20,000 or more) © Real Estate ❑ Gems/Jewelry ❑ Stamp Collections ❑ Art* (contribution of Tess than $20,000) 0 Coin Collections ❑ Books 'Art includes paintings, sculptures, watercolors, prints, drawings, ceramics, antique furniture, decorative arts, textiles, carpets, silver, rare manuscripts, historical memorabilia, and other similar objects. Note: 1f your total art contribution deduction was $20,000 or more, you must attach a complete copy of the signed appraisal. See instructions. E Other 5 (a) Description of donated property (if you need more space, attach a separate statement) (b) If tangible property was donated, give a brief summary of the overall physical condition at the time of the gift (c) Appraised fair market value A 20.272% undivided interest in .032 acres B of land, Round Rock, Texas with a C producing water well, known as State D Well No. 58-35-317 (d) Date acquired by donor (mo., yr.) (e) How acquired by donor (f) Donor's cost or adjusted basis (g) For bargain sales, enter amount received See instructions (h) Amount claimed as a deduction (1) Average trading price of securities A May 9, 1994 purchase B C D Part 11 Taxpayer (Donor) Statement—List each item included in Part I above that the appraisal identifies as having a value of $500 or Tess. See instructions. I declare that the following item(s) included in Part I above has to the best of my knowledge and belief an appraised value of not more than $500 (per item). Enter identifying letter from Part I and describe the specific item. See instructions. ► Signature of taxpayer (donor) 0. Date Part I11 Declaration of Appraiser declare that I am not the donor, the donee, a party to the transaction in which the donor acquired the property, employed by, or related to any of the foregoing persons, or married to any person who is related to any of the foregoing persons. And, if regularly used by the donor, donee, or party to the transaction, I performed the majority of my appraisals during my tax year for other persons. Also, I declare that I hold myself out to the public as an appraiser or perform appraisals on a regular basis; and that because of my qualifications as described in the appraisal, I am qualified to make appraisals of the type of property being valued. I certify that the appraisal fees were not based on a percentage of the appraised property value. Furthermore, I understand that a false or fraudulent overstatement of the property value as described in the qualified appraisal or this appraisal summary may subject me to the penalty under section 6701(a) (aiding and abetting the understatement of tax liability). I affirm that I have not been barred from presenting evidence or testimony by the Director of Practice. Sign Here Signature Title 10. CPA Date of appraisal 0- '3D-bg Business address (including room or suite no.) 515 Congress Ave., 20th Floor City or town, state, and ZIP code Austin, Texas 78701 Part IV Identifying number P00228487 Donee Acknowledgment—To be completed by the charitable organization. This charitable organization acknowledges that it is a quali orgn at�??atio yyider �,ef� 1 n 170(c) and that it received the donated property as described in Section B, Part I, above on ► PetCr1'oh a . 1 (Date) Furthermore, this organization affirms that in the event it sells, exchanges, or otherwise disposes of the property described in Section B, Part 1 (or any portion thereof) within 2 years after the date of receipt, it will file Form 8282, Donee Information Return, with the IRS and give the donor a copy of that form. This acknowledgment does not represent agreement with the claimed fair market value. Does the organization intend to use the property for an unrelated use? ► ❑ Yes ❑ No Employer identification number 74-6017485 Name of charitable organization (donee) City of Round Rock Address (number, street, and room or suite no.) 221 E. Mai , Street City or town, state, and ZIP code Round Rock, TX 78664 Authorized signa. r Title City Manager DatS HOIO