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STATEMENT OF BENEFITS <br />REAL ESTATE IMPROVEMENTS <br />Stale Form 51767 (R6 f 1644) <br />Prescribed by the Department of Local Government Finance <br />This statement is being completed for real property thatglialifies under the(( <br />o Redevelopment or relratillitation of real estate improvements.(IC 6- 1.142 <br />❑ Residenliatry disUesseil area (IC 04.142.1 -4.1) <br />JIORUGTiONS: <br />1. This statement must be submidedlo the bodydesignaNng the Economic l <br />inforg►.idap from the applleant in meAV Lis declsloo about whelherto de. <br />submllled.to Ihaalesignarynghody8EF0RE the iedevalopmentor►ehs6h <br />2. fie da (ementofbenelRsformmust6ast6til ltedtothedesignatingbodi <br />the redevelopiuent ortehablife$on for wN0 the person dashes to oink" l <br />3. fig obtain a deddolkh, a J�omr322MEmust be Ned wNh the CamfyAudA <br />made ornot lalerthan Ugrty((3300)) dej a etter the assessmentno&v k mall <br />faked to file a Miucibn app�ice Am wNhfo the prescribed deadline may, Sit <br />4. ApropeAy owner who Mas• torMededuc tion*ystprcWde the Ccu*Aud <br />trop dv should he,alfached to the Form 3MEwhen the deducifonWN <br />Filed in Clews otooe <br />In the <br />X11 <br />V PAY 201 Real Pioperty <br />CY OTiCE n conseminglho cost <br />andapacNtoaalades <br />at . loyeeb by thls� r <br />.1, <br />MgdiMS <br />must he <br />vakratlon Is <br />tc s= 1.1 -rz 1.5 7(b1 <br />a For a For" SO- IlReal Propedy that fs apptoved alter. June 30, 2013, the, ilesfgnaiing body is required to establish an "emeni schedule for each <br />dedadAM 6901ked For a Form SO- IA7e81 Ploparty that Is appiovio prior to July 1.7613.'100 abatement schedule apprormd tfy the deslgnallng body <br />rerai s in attack 10'e -im- 12:1.17 <br />Page i pt2 <br />SECTION I TAXPAYER <br />INFORNIATiON <br />Nam• of taayayer <br />INDUSTRIAL. METAL PAB, INC. <br />Adtlmgsorleimayerinwnberandet ree4 crararete, andlrPwda) <br />2866 WEST SAMPLE, SOUTH BEND, IN 46619 <br />Name o contact parson <br />Telephone suniber <br />l and address <br />PATRICK F05(-OR- KYLE SEAUDWAY <br />(574) 288 -$3.6$ <br />PFOX IMFONLINE.COM <br />SECTION 2 LOCATION AND DESCRIPTION <br />OF PROPOSED <br />nap <br />r <br />Resololon eumbet <br />Lftallon o_prope y <br />County <br />DLGFtaxbigdisVkitnumber <br />2806 WEST SAMPLE, SOUTH :BEND, IN 46619 <br />IST. JOSEPH <br />Descripdonof teal ptoperty improvements. redeve opmen4 Mreha U Ion foss aditnafaheals f Ocsssary <br />Estimated elartdale (month day, yeah <br />Aetdr455 (ntoti#r% d+?alnissves urliy Cellcrefe a <br />el*ut(ts . 1nStcutl <br />10 -15 -2096 <br />,Mot lwia{ eyv iMM4- ("-Us) - poeovc A- mk A 041e 1o4m. <br />Estmated$$- $$ <br />,ya"lvt5 <br />�.,iitd ku7 s:lecf (p :tetlr1: a.d.Qec+ A1cv► n rj c;ct. <br />10 -15 -2018 <br />• <br />PROPOSED <br />Priam numb er S•lad�e Numtierrelained <br />salaries <br />Numberaeditlonal Salerbs <br />to /hr <br />18 $16/hr <br />t $16 <br />ESTIMATED TOTAL COST AND <br />VALUE OF • <br />SFCTION4 <br />REAL ESTATE IMPROVEMENTS: <br />COST <br />ASSESSEDVALUE <br />Curreniva(uds <br />$165,000 <br />Plus estimated values otpro osedproeot <br />375,000 ' <br />Less values ofany property being replaced <br />$12,000 <br />Net estimateii values ' on co letlon o1 o eoi , . <br />WASTE CONVEPTED AND OTHER <br />SECTION 6 <br />Fdlmalgd solid wa#e convened (pounds) <br />Estimated hazardous waste converted (p6lui . <br />OlAerbenefle <br />• <br />SECTION <br />I hereby ce* that the representafions In this statement are true. <br />Sig mG cf euihoriied representative <br />Dale signori (mont) day, year) <br />dntw name or auiA xtd rebresentau" <br />Title <br />+{al <br />i4fitT +nnl�NltL1 <br />Page i pt2 <br />