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rtate~ ~+«~A p~ W' p ®~ gry~~+ ®pg ~yta <br />~, ~~j BM®®~~~++~tYpp1 ~~~pp1~T®®~ Lpp1~[pp®~~y~i 1 v7 I~QRITi .SB~1 ~ T'1" <br />e~~,,_, _ :'p State Farm 51764 {R ! 1-06) <br />a` ~ PRIVACY NOTICE <br />Prescribed by the Department of Looal Government Finance <br />The cost and any specific individual's <br />salary information ss confidentiaE; the <br />balance of the filingg is public record <br />per iC 6•i.t-i2.1-5.1 (c) and (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 submitted <br />to the designating body BEFORE a person installs fhe new manufacturing equipment and/or research and development equipment, and/or logistical distribution <br />equipment and/or information technology equipment far which the person wishes to claim a deduction. Projects" planned or committed to offer July 1, 1987, <br />and areas designated otter July 1, 1987, require a STATEMENT OF BENEFITS. (1C 6-i.1-i2.1) <br />2. Approval of the designating body (Ci#y Council, Town Board, County Council, efa.J must be obtained prior to installation of the new manufacturing equipment <br />and/ar research and development equipment and/or Jogisticat distribution equipment and/or information technology equipment, 6EFORE a deduction may <br />be approved <br />3. To obtain a deduction, a person must file a carlifred deduction schedule with the person's personal properly return on a certified deduction schedule (Form <br />103-,ERA) with the township assessor of the township where the property is situated. The 703-ERA must be tiled between March 1 and May 15 of the <br />assessment year in which new manufacturing equipment and/or research and development equipment and/or logistical distribution equipment and/or <br />information feehnology equipment is installed and fully functional, unless a filing extension has been obtained. A person who obtains a lriing extension must <br />file the form between March f and the extended due date of that year. <br />4. Property owners whose Statement of Benefits was approved attar June 9D, 1991, must submit Form CF-1 / PP annually to show compliance with the <br />Statement of8enehts. (!C 6-1.1-12,1-S.tiJ <br />5. The schedules established under lC 6-i.1-12,1-4.5(dJ and (e) apply to equipment installed aft® ~~ 2 1. Far equipment installed prior to March 2, <br />2001, the schedules and statutes in effect at the time shall continue to apply. (1C &-1.,1ri2. i-4.5(fi~~ ' <br />Name of taxpayer ~~ <br />Steel Warehouse Company LLC ~' ~ t ` ~~~~~ ~+ <br />Address of taxpayer (number and street, city, state, and Zip code} <br />f` ")- <br />2722 W. Tucker Drive, South Bend, IN 4669 9 ~ ~ - <br />Name of contact person ,.•~ ~~ elephone number <br />Richard King nr Gerald F. Lerman -~-~~""~ . ••.. ~0,~~'~; (574)23fi-Si DO <br />Name of designating body 1 ResolutFOn number (s) <br />,~~-` ,,. <br />City of South Bend Common Council <br />Location of property County DLGF taxing district number <br />1400 W. Riverside South Bend, !N 46616 st. Joseph 71028 <br />Description of manufacturing equipment andlor research and development equipment ESTIMATED <br />andlor logistical distribution equipment andlor information technology equipment. START DATE COMPLETION DATE <br />(use additional sheets if necessary) <br />Laser cutting and material handling equipment <br />number Salaries ._. tVumberretained <br />NOTE: Pursuant to IC t3-1.1-12.1-5.1 (d) (2) the <br />COST of the property is confidential. <br />COST ~ ASSESSED <br />UALI}E <br />Manufacturing Equipment 49/75/2014 09/15/2011 <br />R & D Equipment <br />logist Dist Equipment <br />IT Equipment <br />Salaries <br />-e•. e <br />R 8 D EQUIPMENT <br />COST ASSESSED <br />VALUE <br />Number additional <br />LOG15T DIST <br />EQUIPMENT <br />COST ASSESSED <br />l/AGl#E <br />Sa€aries <br />17 EQUIPMENT <br />COST ASSESSED <br />VALUE <br />Current values <br />Plus estimated values of proposed project _ c~ ` <br />less values o€ any property being replaced <br />IVet estimated values upon completion of project , <br />Estimated solid waste converted (pounds) D_DD <br />Other benefits: <br />Estimated hazardous waste converted (pounds) D,,,,,`Dp <br />I hereby certify that the representations in this statement are true. <br />Signature of authorized representative Title Date signed (month, day, year) <br />~,,,~ ~oP ,~` ,1~-~.....~,Y„~ Vice I~resident t-1 ~.~~ , ~ r z o r ~ <br />