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�_a�_r+�...`verrr...uvrrravvL.rv�irv..� <br /> t\ , State Form 51767(R6 110-14) <br /> FORM SB-7/Real Property <br /> i <br /> `�`s,9 Prescribed by the Department of Local Government Finance PRIVACY NOTICE <br /> This statement is being completed for real property that qualifies under the following Indiana Code(check one box): Any information concerning the cost <br /> of the property and specific salaries <br /> ❑Redevelopment or rehabilitation of real estate improvements(IC 6-1.1-12.1-4) paid to individual employees by the <br /> ❑Residentially distressed area(IC 6-1.1-12.1-4.1) property ovrner is confidential per <br /> IC 6-1.1-12.1-5.1. <br /> INSTRUCTIONS: <br /> 1. This statement must be submitted to the body designating the Economic Revitalization Area priorto the public hearing if the designating body requires <br /> information from the applicant in making its decision about whether to designate an Economic Revitalization Area. Otherwise,this statement must be <br /> submitted to the designating body BEFORE the redevelopment orrehabilitation of real property for which the person wishes to claim a deduction. <br /> 2. The statement ofbenen`ts form must be submitted to the designating body and the area designated an economic revitalization area before the initiation of <br /> the redevelopment or rehabilitation for which the person desires to claim a deduction. <br /> 3. To obtain a deduction,a Form 3221RE must be filed with the County Auditor before May 10 in the yearinn which the addition to assessed valuation is <br /> 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 <br /> failed to file a deduction application within the prescribed deadline may file an application between March 1 and May 10 of subsequent year. <br /> 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 <br /> Property should be attached to the Form 3221RE when the deduction is first claimed and then updated annually for each year the deduction is applicable. <br /> IC 6-1.1-12.1-5.1(b) <br /> 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 <br /> 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 <br /> remains in effect. IC 6-1.1-12.1-17 <br /> TAXPAYER SECTION I INFORMATION <br /> Name of taxpayer <br /> River Park Leasing Corporation <br /> Address of taxpayer(numberand street,city,state,and 7JPcode) <br /> c/o Randall Hesser; 121 West Franklin, Suite 400; Elkhart, Indiana 46516 <br /> Name of contact person Telephone number E-mail address <br /> Randall Hesser ( 574 ) 294-7491 <br /> Name of designating body Resolution number <br /> Common Council of City of South Bend <br /> Location of property County DLGF taxing district number <br /> SW Corner of Main St. and Jefferson Blvd., South B St. Joseph 71-011 <br /> Description of real properly improvements,redevelopment,or rehabilitation(use addWonal sheets irnecessary) Estimated start date(month,day,year) <br /> Proposed investment of at least$9,000,000 to the development and construction of a new office buldng(with first March 2018 <br /> floor retail)at the SIN comer of Main Street and Jefferson Blvd.,in South Bend,Indiana. Estimated completion date(month.day,year) <br /> July 2019 <br /> ;jell I=1 1111111W= <br /> Current number Salaries Number retained Salaries Numb er add icna' S75es <br /> REAL ESTATE IMPROVEMENTS <br /> COST ASSESSED VALUE <br /> Current values <br /> Plus estimated values of proposed project <br /> Less values of any property being replaced <br /> Net estimated values upon completion of project <br /> Estimated solid waste converted(pounds) Estimated hazardous waste converted(pounds) <br /> °iaSE 9%fisestimates that the project will result in the creation of at least 15 new full time jobs having an annual payroll of$750,000 within <br /> three years of building completion. These jobs are in addition to the creation of employment by tenants within the first floor retail and <br /> office tenants on floors 2-4 of the building. <br /> SECTION <br /> • <br /> I hereby certify that the representations in this statement are true. <br /> Signal ure of tho' ed representative Date signed(month,day,year) <br /> au <br /> f, Nov. ZO , 2017 <br /> Printed name of authorized representative Title A <br /> �OWar1� C.�tJ�9 �•��A�1Sr// <br />