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STATEMENT OF BENEFITS 20 PAY 20 <br />REAL ESTATE IMPROVEMENTS <br />State Form 51767 (R2 11-07) FORM SB-1 f Real Property <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 />❑1 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 />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 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. (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 rehabilitation, <br />BEFORE a deduction may be approved. <br />3. To obtain a deduction, application Form 322 ERA/RE or Form 322 ERA1VB0, Whichever is applicable, must be filed with the County Auditor by the later <br />of: (1) May 10, or (2) 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. Property owners whose Statement of Benefits was approved after June 30, 1991, must attach a Form CF- IlReal 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 <br />5. The schedules established under IC 6 -1, 1- 12.1 -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 approved on or after July 1, 2000. The schedules effective prior to July 1, 2000, shall continue to apply to a statement of benefits filed before <br />July 1, 2000. <br />Name of taxpayer <br />Oliver Plow Partners, L.P. <br />Address of taxpayer (number and street, city state, and ZIP code) <br />227 South Main Street, South Bend, IN 46601 <br />le or contact person <br />Paul Phair <br />Telephone number <br />(574) 217 -4498 <br />E -mail address <br />PPS a- �Cr%hwdaot�y� , t k5 <br />)Jame of designating body Resolution number <br />City of South Bend <br />Location of property County DLGF taxing d'tstrlct number <br />815 Oliver Plow Court; South Bend, IN 46624 St. Joseph County <br />Description of real property improvements, redevelopment, or rehabilitation (use additional sheets if necessary) Estimated start date (month, day, year) <br />Construction of a new 40,800 SF industrial facility to be occupied and operated by ABC 04/01/2011 <br />Supply Company. Estimated completion date (Month, day, year) <br />10/01 /2011 <br />• e • + o �••• r •-s <br />Current number Salaries Number retained Salaries Number additional Salaries <br />11.00 $419.957.60 11.00 $419,957.60 2.00 $65,000,00 <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 0.00 <br />Plus estimated values of proposed project 1.510.000.00 <br />Less values of any property being replaced 0.00 <br />Net estimated values upon compWion of project 1,510,QOQ.OQ <br />• • • o 'e + <br />Estimated solid waste converted (pounds) Estimated hazardous waste converted (pounds) <br />Other benefits <br />This project redevelops an urban, brownfield land site that has been remediated by the City of South Bend in preparation <br />for redevelopment into a productive building site that will, again, become a taxable entity. This location and building will be <br />an improvement for the operation of ABC Supply Company. A company that is committed to continuing, improving, and <br />investing in their operation on South Bend's near west side. Furthermore, this use is compatible with this site's general <br />industrial zoning and matches the character of other construction industry suppliers in the immediate vicinity to this <br />location. <br />I hereby certify that presentatia s i' this statemen 2e. <br />Signature of authoriz tative �' Tille Date signed (month, day, year) <br />President of Gen. Partner 02/01/2011 ),,/, 1-17 7 Page 1 of 2 <br />