06-28-10 Council Agenda & Packet

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STATEMENT OF BENEFITS 20� PAY 20-- . ? REAL ESTATE IMPROVEMENTS $We Farm 51787 (1121 1.0]) FORM S8-1 1 Real Property • Prescribed by the pepariment of Local Government Finance This statement is being completed for real property that qualities under the following Indiana Code (check one box): 0 Redevelopment or rehabilitailon of reel estate Improvements (IC: 6 -1.1- 111.4) 0 Eligible Vacant building (IC 6 -1.1- 12.1 -4.8) INSTRUCTIONS, 1. This statement must be submitted lathe body designating the Economic Revitalization Area prior to the public hearing ifthe 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 of real property for which the person wishes to claim a deduction. Projects "planned or committed to after July 1, 1987, and areas designated after July 1, 1967, require a STATEMENT OF BENEFITS. (IC 6 -1.1 -12.1) 2. Approval of the designating body (City Council, Town Board, County Council, etc.) must be obtained prior to Initiation of the redevelopment orrehabilitation, BEFORE a deduction maybe approved. 3. To obtain a deduction, application Form 322 ERArRE or Form 322 ERANBD, Whichever is applicable, must be filed with the County Auditor by the later of., (1) May 10; or (2) thirty (30) days alter the notice of addition to assessed vatuallon or new assessment is mailed to the property owner at the address shown on the records of the townshlp assessor. 4. Property owners whose Statement of Benefits was approved altar June 30, 1991, must attach a Form CF -1 /Real Property annually to the application to show compliance with the Statement of Benefits, [IC 0- 1. 1- 12.1-5. i(b) and IC 6.1.1- 12.1 - 5,30)] 5. The schedules established under IC 5 -1.1- 12.1 -4fd) for rehabilitated property and under IC 6- 1.1.12,1- 4.8(1) for vacant buildings apply to any statement of benefits approved on or after Jtrly i, 2000. The schedules effective prior to July 1, 2000, &half continue to apply to a statement of benefits tiled before July 1, 2000. Name of taxpayer BW Business Park LLC Address of taxpayer (numtrerandstreet, city, stato, and ZIP code) 7101 Vorden Parkway, South Bend, IN 46628 Name of contact person Telephone number E -mall address Toren Veidman (674) 287 -2316 tveldman (5-tirerack.com • a a � o e a ••e•e � ••♦ Name of designating body Resolutlon number Common Council Locattan of property County DLGF taxing dlstdct number Vacant Land Parcels, Lots 14 & 15 in Blackthorn West St, Joseph Warren Description of real property Improvements, redevelopment, or rehabilitation fuse, additional sheets Ifnecessary) Estimated start dale (month, day, year) 06/01/2010 Estimated wmplellon date (month, day, year'} 04/0112011 a e a e e •e•a t+••e Current number Salaries Number ralalned Salado$ Number addilional Salaries 1 23.00 $668.820.00 23.00 $690.000.00 0.00 50.00 NOT!:: Pursuant to IC 6 -1,1 12.i 5.1 (d) (2) The COST of the property is confidential. REAL ESTATE IMPROVEMENTS COST I ASSESSED VALUE Current values 238,000,00 Plus estimated values of proposed project 2.400,000.00 Less values of any property being replaced 0.00 Net estimated values upon completion of project 2.638.000.00 Estimated solid waste converted (pounds) Other benefits I hereby certify that the representations In this statement are true. Estimated - aalt!00A MHOP O10Z 8 4 E: 93J 001110 sdijeio ul Mid Signature ol.4011h ad repr k l Title /rrS I'dr," ' I Dale s€zgn/ 17 (month, fo year) I Page 1 of 2