17-09 Designating a six (6) year real property tax abatement for Hibberd Development, LLC

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Filed in Clerk's Office l STATEMENT OF BENEFITS FFR 2 P 2117 s�f REAL ESTATE IMPROVEMENTS .�- State Form 51767 (R6/10-14) i(AREEMAH FOWLER a . Prescribed by the Department of Local Government Finana CI TY CLERK(, SOUTH BEND, IN This statement is being completed for real property that qualifies under the rerns-ecde 1cherk One box). ® Redevelopment or rehabilitation of real estate improvements (IC 6- 1.1- 12.111) ❑Residentiallydistressed area (IC 6- 1.1- 12.111.1) 20_ PAY 20_ FORM SB -1 / Real Property PRIVACY NOTICE Any information concerning the cost of the property and speck salaries paid to individual employees by the Pmp!rty owner is confidential per INSTRUCTIONS: IC 6 -1.1- 12.1 -5.1. 1. This statement must be submitted to the bodydesignating the Economic Revitalization Area priorto the public hearing if the designating body requires information from the applicant in making its decision about whether to designate an Economic Revitalization Area. Otherwise, this statement must be submitted to the designating body BEFORE the redevelopment or rehabilitation ofreal propertyfor which the person wishes to claim a deduction. 2. The statement ofbenefits form must be submitted to the designating body and the area designated an economic revitalization area before the initiation of the redevelopment or rehabilitation for which the person desires to claim a deduction. 3. To obtain a deduction, a Form 3221RE must be filed with the County Auditor before May 10 in the year in which the addition to assessed valuation is made or not later than thirty (30) days after the assessment notice is mailed to the property owner if it was mailed afterApril 10. A property owner who failed to file a deduction application within the prescribed deadline may file an application between March 1 and May 10 of a subsequent year. 4. A property owner who files for the deduction must provide the County Auditor and designating body with a Form CF -1 /Real property The Form CF- 1/Real Property should be attached to the Form 3221RE when the deduction is first claimed and then updated annually far each year the deduction is applicable. iC 6 -1.1- 12.1- 5.1(b) 5. For a Form SB- 1/Real Property that is approved after June 30, 2013, the designating body is required to establish an abatement schedule for each deduction allowed. For a Form SB-1 /Real Property that is approved prior to July 1, 2013, the abatement schedule approved by the designating body remains in effect, IC 15-1.1-12.1-17 Name of taxpayer Hibberd Development, LLC Address of taxpayer (number and street, city, state, and ZIP code) 1329 East Washington Street, South Bend, IN 46601 Name of contact person Telephone number E -mail address Mark Neal ( 574)339-9406 kmneal @aol -com SECTION 2 LOCATION AND DESCRIPTION Name of designating body OF PROPOSED PROJECT Resolution number Local on of property County DLGF taxing district number 321 - 325 South Main Street: South Bend, IN 46601 St. Joseph Description of real property improvements, redevelopment, or rehabilitation (use additional sheets ifnecessary) Estimated start date (month, day, year) Development 105/01/2017 Estimated completion date (month, day, year) 0 Current number Salaries Number retained Salaries Number additional Salaries 0 N/A N/A 32 $42,906 avg SECTION . TOTAL COSTAND VALUE OF • . • s ► PROJECT REAL ESTATE IMPROVEMENTS COST I ASSESSED VALUE Current values 1$240,000 IS 197.700 Plus estimated values ofproposed project I$5,250,000 IS1 150000 Less values of any property being replaced I- I- Net estimated values upon completion of project l$5,490,000 $3,347,700 SECTION D OTHER Estimated solid waste converted (pounds) N/A BENEFITS PROMISED : Estimated hazardous waste converted (pounds) N/A Other benefits $ECTION 6 CERTIFICATION I hereby certify that the representations in this statement are true. Signature of authorized representative t Date signed month, day, year) I —L- Printed name of authorized representative 1 f Title Aj Deno d of 9 �