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SHE ft~TE <br />,e S 1~1TCIYIEIVT yr Berveri t a <br />"i„ y. 4> DCOCnAt Q no rv <br />`~-- ~L ~ ER <br />~~, ~~ , ~-iwvly r 1 yr r 1 <br />f;;, State Form 51764 (R / 1-06) <br />"'"-~~ Prescribed by the Department of Local Government Finance <br />INSTRUCTIONS' <br />g ! rft' A2 <br />SEP - 4 2009 <br />JG'Ht1 Vt;Or".GE <br />~YOtZM 5f3-1 / F~13 <br />PRIVACY NOTICE <br />The cast and any specific individual's <br />salary information is confidential; the <br />balance of the filing is public record <br />per IC 6-1.1-12.1-5.1 (c) and (d). <br />1. This statement must be submitted to the body designating the Econorc' R vitarl TY•~L.Etr~ 1!'tnrn"Th `~^~ "/ i ring if the designating body requires <br />information from the applicant in making ifs decision about whether to designate an Economic Revitalization Area. Otherwise this statement must be submitted <br />to the designating body BEFORE a person installs the new manufacturing equipment and/or research and development equipment, and/or logistical distribution <br />equipment and/o~ information technology equipment for which the person wishes to claim a deduction. "Projecfs° planned or committed fo after July 1, 1987, <br />and areas designated after July 1, 1987, require a STATEMENT OF BENEFITS. (IC 6-1.1-12.1) <br />2. Approval of the designating body (City Council, Town Board, County Council, etc.) must be obtained prior to installation of the new manufacturing equipment <br />and/or research and development equipmenfand/or logistical distribution equipment and/or information technology equipment, BEFORE a deduction may <br />be approved <br />3. To obtain a deduction, a person must fi/e a certified deduction schedule with the person's personal property return on a certified deduction schedule (Form <br />103-ERA) with the township assessor of the township where the property is situated. The 103-ERA must be filed between March 1 and May i5 of the <br />assessment year in which new manufacturing equipment and/or research and development equipment and/or logistical distribution equipment and/or <br />information technology equipment is installed and fully functional, unless a filing extension has been obtained. A person who obtains a frling extension must <br />file the form between March 1 and the extended due date of that year. <br />4. Property owners whose Statement of Benefits was approved after June 30, 1991, must submit Form CF-1 / PP annually to show compliance with the <br />Statement of Benefits. (!C 6-1.1-12.1-5.6) <br />5.. The schedules established under 1C 6-1.1-12.1-4.5(d) and (e) apply to equipment installed after March 1, 2001. For equipment installed prior to March 2, <br />2001, the schedules and statutes in effect at the time shalt continue to apply. (lC 6-1.1-12.1-4.5(f) and (g)) . <br /> <br />Name of taxpayer <br />Steel Warehouse Co LLC <br />Address of taxpayer (number and street, city, state, and ZIP code) <br />2722 W TUCKER DR SOUTH BEND, IN 46624 <br />Name of contact person Telephone number <br />Richard King or Gerald Lerman (574) 236-sioo <br /> <br />Name of designating body Resolution number (s) <br />CITY OF SOUTH BEND COMMON COUNCIL <br />Location of property County DLGF taxing district number <br />1400 W. RIVERSIDE SOUTH BEND, IN ST JOSEPH 71026 <br />Description of manufacturing equipment and/or research and development equipment ESTIMATED <br />and/or logistical distribution equpment and/or information technology equipment. START DATE COMPLETION DATE <br />(use additional sheets if necessary) _ <br />- - Manufacturing Equipment 10/15/2009 12/31!2010 <br />Releveler equipment for armor plate applications. <br />R & D Equipment <br />Logist Dist Equipment <br />IT Equipment <br /> <br />Current number Salaries Number retained Salaries fJumber additional Salaries <br />SEE ATTACHED ' <br />-. -. <br />NOTE: Pursuant to IC 6-1.1-12.1-5.1 d 2 the MANUFACTURING R ~ D EQUIPMENT LOGIST DIST IT EQUIPMENT <br />( ) ~) EQUIPMENT EQUIPMENT <br />COST of the property is confidential. COST ASSESSED COST ASSESSED COST ASSESSED COST ASSESSED <br />VALUE VALUE VALUE VALUE <br />Current values <br />Plus estimated values of proposed project TTACH D <br />Less values of any property being replaced <br />Net estimated values upon compiefion of project <br /> <br />Estimated solid waste converted (pounds) 0.00 Estimated hazardous waste converted (pounds) 0.00 <br />Other benefits: <br />~5 <br />I hereby certify that the representations in this statement are true. <br />Signature of authorized representative Title Date signed (month, day, year) <br />G-+r...e1 rz.- ~.r~v+.~..-~ .4/~ ~ ~ 1~~~ S ..t ~•.~d- S~-/r~w4.-. ~, z o ~ 9 <br />