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d,. STATEMENT OF BENEFITS
<br />g REAL ESTATE IMPROVEMENTS
<br />State Fort 51767 (R2l 1 -07)
<br />Prescribed by the Department of Local Government Finance
<br />This statement is being completed for real property that qualifies under the following Indiana Code (check one box):
<br />© Redevelopment or rehabilitation of real estate improvements (IC 6 -1.1- 12.1 -4)
<br />© Eligible vacant building (IC 6 -1,1- 12.1 -4.8)
<br />20__ PAY 20_—
<br />FORM SB -1 1 Real Property
<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 appllcanf 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 wishes to claim a deduction.
<br />Projects" planned or committed to after July 1, 1987, and areas designated after July 1, 1987, require a STATEMENT OF BENEFITS. (lC 5.1,1 -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 rehabilitation,
<br />BEFORE a deduction may be approved.
<br />3. To obtain a deduction, application Form 322 ERA/RE or Form 322 ERANBD, Whichever is applicable, must be filed with the County Auditor by the later
<br />of.' (1) May 10; or f2) thirty (30) days after the notice of addition to assessed valuation or new assessment is mailed to the property owner at the address
<br />shown on the records of the township assessor.
<br />4. Properly owners whose Statement of Benefits was approved after June 30, 1991, must attach a Form CF -1 /Real Property annually to the application to
<br />show compliance with the Statement of Benefits. (1C 6 -1.1- 12,1- 5.1(b) and IC 6 -1.1- 12.1 -5.30)J
<br />5. The schedules established undar lC 64.142.1 -4(d) for rehabilitated property and under IC 6 -1.1 -12.1- 4.8(1) for vacant buildings apply to any statement
<br />of benefits appro ved on or after July 1, 2040. The schedules effective prior to July 1, 2000, shall conflnue to apply to a statement of benefits filed before
<br />July 1, 2000.
<br />Name of taxpayer
<br />McCormick and Cornaanv. Inc.
<br />Address of taxpayer (numberand street, city, state, and ZIP code)
<br />18 Loveton Circle, Sparks, MD 21152
<br />Name of oohtact person Telephone number
<br />E mall address
<br />Deidre, Cassid (410) 771 -7381
<br />r • • AND :p ON or s••• r r
<br />Name of designating body
<br />Resolution number
<br />Location of property
<br />County
<br />DLGF taxing district number
<br />3425 West Lathrop Drive, South Bend, IN
<br />St. Joseph
<br />Description of real property improvements, redevelopment, or rehabilitation fuse additional sheets ifnecessary)
<br />EstImated start date (month, day, year)
<br />There will be a 75,000 SF addition to the existing building for distribution operations.
<br />09/01/2010
<br />EsUmated completion date (month, day, yaor)
<br />05/31/2011
<br />• • s' 11 r - 1 r -+•e s••a
<br />Current number Salaries Number retained Salaries Number additional Salaries
<br />123.00 $6,288,988.00 123.04 $6,288,988.00 5.00 $177,247.00
<br />:...�SECTJQN 4 ESTIMATED TOTAL COSTAND VALUE 0F.PROPOSED - -•
<br />NOTE: Pursuant to IC 6 -1.1- 12.1 -5,1 (d) (2) the COST of the property REAL ESTATE IMPROVEMENTS
<br />is confidential. COST ASSESSED VALUE
<br />Current values 7,14%479,00 479.00 1.423.500.00
<br />Plus estimated values of proposed project 5,894.948.00
<br />Less values of any property being replaced
<br />Net estimated values upon completion of project 13,044.427,00
<br />MIA
<br />Estimated solid waste converted (pounds) Estimated hazardous waste converted (pounds)
<br />Mer benefits
<br />None with current project. Waste water facility previously built to treat H2O.
<br />• •
<br />I hereby certify that the representations In this statement are true.
<br />Sign ° tirerild representative �1te Date signed (month, day year)
<br />A 1- � ��4 011 � h lC l y Deirector - State & Local Tax 1 �y 1 j
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