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<br /> STATEMENT OF BENEFITS
<br /> REAL ESTATE IMPROVEMENTS 20_PERGa 0---
<br /> 0 Stele Forth 51767(R4 12-113) FORM Se-1 1 l Prop erty
<br /> Prescribed by the Department of Local 0ovemment Finance
<br /> PRIVACY NOTICE
<br /> This statement is being completed for real property that qualifies under the following Indiana Code(check one box); The cost and anyspeciliolnclMduai's
<br /> ❑ Redevelopment or rehabilitation of real estate improvements(IC 6-1.1A2.1-4) salary Information Is confidential;the
<br /> ❑ Residentially distressed area(IC 8-1.1-12.1-4.1) balance of the fling is p'jblic record
<br /> Per IC 6.1.1.12.1.5.1(c)end(d).
<br /> INSTRUCTIONS:
<br /> 1. This statement must be submitted to the body designating the Economic Revitalization Area prior to 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 or rehabilitation of real property for which the person w1shes to claim a deductor.
<br /> 'Projects'planned orcommitted to after July 1, 1987,and areas designated after July 1, 1987,require e 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 Initiation of the redevelopment or
<br /> rehabilitation,BEFORE a deduction maybe approved.
<br /> 3. To obtain a deduction,a Form 3221RE must be filed with the County Auditor before May 10 in the yearin 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 Nit was mailed aRerApril 10. If the prop any owner
<br /> misses the May 10 deadline in the Initial year of occupation,he can apply between March 1 and May 10 ore subsequent year.
<br /> 4. Property owners whose Statement of Benefits was approved after June 30, 1991,.must attach a Form CF•1 1Real Property annually to the application to
<br /> show compliance with the Statement of Benefits, (iC 6-1.1-12.1-5.1(b)and iC 6.1.1-12.1-5.3Q)J.
<br /> 5. The schedules established under IC 6-1.1-12.1-4(d)for rehabilitated property apply to any economic revitalization areas designated after June 30,2000,
<br /> unless an altemetive deduction schedule is adopted by the designating body(IC 6-1.1-12.1-17). The schedules effective prior to July 1,2000,shall
<br /> cgqontinuel to/apply to economic revitalization areas designated before July 1,2000.ti
<br /> Name of taxpayer
<br /> COOREMAN REAL ESTATE GROUP, INC,
<br /> Address of taxpayer(number and street,city,state,and ZiP code)
<br /> 4404 TECHNOLOGY DRIVE, SOUTH BEND, IN.46628
<br /> Name of contact person Telephone number E-rraC address
<br /> STEVE C}OOREMAN y ��, � n ({�5743 1.2.77-0116 STEVEQ�COOREMAN.COM
<br /> .J �`, .:.._. _.........,_...._.. _._,._.........���r�t � :•'"'-'" :•.:-.:
<br /> Name of designating body '.r
<br /> ot
<br /> SOUTH BEND COMMON COUNCIL Res �numb
<br /> Location of properly County
<br /> DLGF taxing district number
<br /> N OF BRICK RD./E OF ORANGE RD./W OF US 31 BYPASS ST.JOSEPH GERMAN
<br /> Descriplion of real properly improvements,redevelopment,or rehabilitation(use additional sheets if necessary) Estvnated sta-i date(month,day,yeah
<br /> Fifty one(51)homes in The Villas at Lake Blackthorn Section I and II-a single family home subdivision 11/12/2013
<br /> which has a total of 114 lots, located on 56+/-acres with a large lake,gazebo park,and small pond.
<br /> Avg home price is$250,000.Avg lot price is$47,000.
<br /> Eslrmaled completion date(month,day,year)
<br /> 11/12/2018
<br /> 7 c '
<br /> 4.'L :._ 3 j:�71}(1 .� 4 .i 1�?� t-tc�t' g`�i 1�.,� r ..
<br /> Current number Salaries Number retained Salaries Number additional .•Salaries
<br /> 3t�,�: - _c ` ? 1��� r'` 111 e i 7 e ;•f e ..�
<br /> REAL ESTATE ItdPROVEMENTS
<br /> COST ASSESSED VALUE
<br /> Current values 1175.00iQ eta 530,000.00
<br /> Plus estimated values of proposed project, 5 -`�6, r r✓r 1'3*�`6t� 6 Y3"S�
<br /> Less values of any property being replaced r .00 0.00
<br /> Net estimated values upon completion of pro ecl _ 15,100,000,00
<br /> - ------r----r . . 15,100,000.00
<br /> edit.: •.+;.:.a'� ,:�:.;r.
<br /> Estimated solid waste converted(pounds) Estimated hazardous waste converted(pounds) _
<br /> Other benefits
<br /> SECTION 6 TAXPAYER CERTIFICATION
<br /> I here by ce at the rep r tatfons in this statement are true.
<br /> Signature of tali Tlue
<br /> •, � Oats signed(mon ,day,year)
<br /> i PRESIDENT G
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