17-60 Designating Personal Property Tax Abatement Masterbilt Inc.

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Filed in Clerk's Office STATEMENT OF BENEFITS ISEP FORM S13.1 /PP PERSONAL PROPERTY 1. 3 2011 � Stale Form 51764(R21 12-11) ✓ Prescribed by the Department of Local Government Fine a PRIVACY NOTICE KAnELMAI-i FOWLER The cost and any specific individual's salary information is confidential;tho CITY CLERK,SOUTH BEND,IN balance of lice filing is public record INSTRUCTIONS: ..__..__._.�.-.-.-...--_.__�...____. -- - --.W._... or IC G•1.1-12.1-5.1(c)and(d). 1. This statement must be submitted to ilia body designating the Economic Revitalization Area prior to 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 a person installs the new manufacturing equipment and/or research and development equipment,and/or logistical distribution equipment and/or information technology equipment for which the person wishes to claim a deduction. "Projects"planned or committed to after July 1, 1987, and areas designated after July 1, 1987,require a STATEMENT OF BENEFITS. (lC 6-1.1-12.1) 2. Approval of the designating body(City Council, Town Board,County Council,etc.) must be obtained prior to installation of the new manufacturing equipment and/or research and development equipment and/or logistical distribution equipment and/or information technology equipment,BEFORE a deduction may be approved 3. To obtain a deduction,a person must file a certified deduction schedule with the person's personal property return on a certified deduction schedule(Four) 103-ERA)with the township assessor of the township where file property is situated or with the county assessor if there is no township assessor for the township. The 103-ERA must be filed between March 1 and May 15 of the assessment year in which new manufacturing equipment and/or research and development equipment and/or logistical distribution equipment and/or information technology equipment is installed and fully functional, unless a filing extension has been obtained. A person who obtains a filing extension must file the form between March 1 and the extended due date of that year. 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 Statement of Benefits. (1C 6-1.1-12.1-5.6) 5. The schedules established under IC 6-1.1-12.1-4.5(d)and(e)apply to equipment installed after March 1,2001,unless an alternative deduction schedule is adopted by the designating body(IC 6-1.1-12.1-17). SECTION •• • Name of taxpayer Maslerbill,Incorpporyated/1� C anr/s Address WainulaSl.aSoNhnBandelR 486 leaf,City,stale,and ZIP code) Name of contact person Telephone number Rob Michalak 574.287.6567 SECTION • • AND DESCRIPTION OF •••• • PROJECT Name of designaling body Resolution number(s) Masterbilt,Incorporated Location of property County DLGF taxing district number 325 S.Walnut St. St.Joseph Description of manufacturing equipment and/or research and development equipment ESTIMATED and/or logistical distribution equipment and/or information technology equipment. (use additional sheets if necessary) START DATE COMPLETION DATE Manufacturing Equipment 6/1/15 12/31/15 R&D Equipment Machine tools:Turret Lathe and Swiss-style lathes-multi-spindle,multi-axis,Machining Center-5 axis milling Logist Dist Equipment IT Equipment 10 Current number Salaries Number retained Salaries Number additional Salaries 512,066twk 10 $12,066twk 2 514401wk SECTION 4 ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT NOTE:Pursuant to IC 6-1.1-12.1-5.1 (d)(2)the MANUFACTURING R&D EQUIPMENT LOGIST DIST IT EQUIPMENT EQUIPMENT EQUIPMENT COST of the property is confidential. COST ASSESSED COST ASSESSED COS7 ASSESSED COST ASSESSED VALUE VALUE VALUE VALUE Current values 1,066,808 Plus estimated values of proposed project 576,000 Less values of any properly being replaced 0 Net estimated values upon completion of project 11.641.808 SECTION • •AND OTHER BENEFITS PROMISED BY THE TAXPAYER Estimated solid waste converted(pounds) Estimated hazardous waste converted(pounds) Other benefits: SECTION • I hereby certify that the representations in this statement are true. Signature of auth ri e iv/ Title / Dale signed(nwnlh,day,year) o / 3 Page 1 of 2