18-19 Designating Property Tax Abatement Petition - Wharf Partners, LLC

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�{ +; 2TA,TEMENT0F LF �9L�i�0T �o�8 Statef-orm51767(R6 110-14) i F Q2_U0 I d -8�P.aRven�t©P1r©t slgr— Prescribed by the oepartment of i_ocai Govenm e ¢PR 1 O i p r - -= PRIVACY NO1tCE�- This statement is being completed for real property thaiqualir"tes udder the folydwfffj--l�aRgypj(Fff Cjt one hon): Any informaUen concerning the cost Redevelopment or rehabilitation of real estate improvements(IC 6-7.'I- 21` of the propert and specific salaries ;esidentialiy distressed area(IC 6-1.1-12.1-4.1) �f (F�t` K.SOU i ti BEND,IN # paid to Indieity ) nridenli2lparnnr oes Uy the r INSTRUCTIONS: C roper!e-1.1y-1otvnerisco2.1-5.1. 1. This statement roust be submitted to the body designating the Economic Revitalization Area prlorto the public hearing if the designating body ii-quiras information from the applicant in malting its decision about whether to designate an Economic Revitalization Area. Otherwise,this statement must be submitted no the designating body BEFORE the redevelopment or rehabilitation of real piopedyfor which the person wishes to claim a deduction, 2. The statement of benants form must be submitted to the designating body and the area designated an economic revitalization area before the initiation of the redevelopment or rehabilitation for which the person desires to claim a deduction. 3. To obtain a deduction,a Form 3221REmustbe flfad with the County Auditor before May 10 in the yearnn which the addition to assessed valuation is m ado or not later than thirty(30)days ah`er•the assessment notice Is mailed to the propedy ownel-r it was mailed aftei'Apr,'110. A property owner who Felled to fire a deduction application,within the prescribed deadline may file an application between March 1 and May 10 of a subsequent year. 4, A properiy owner who files for the deduction must provide the County Auditor and designating body with a Form CF-1lReal Property. The Farm CF 1lReal Property should he attached to the Form 3221RE when the deduction is first claimed and then updated annually for each year the deduction is applicable. IC G-1.1-12.1-5.1(b) 5. Por-a Farm SB-1lReal Property that is approved after June 30, 2013, the designating body is required fo establish an abatement schedule for each deduction allowed. For a Po rm SB-1lReal Property that is approved prior to July 1, 2073, the abatement schedule approved by the designating body remains in eff„ct. IC 6-1.1-12.147 �` l^ tCiri n Namo of payer INFORMATION i-LNA-I xw- 5 G L E l hddressOftaxpayer(numberendsUeet,city,state,and' Pcodo) L�� i� /�'�� tN rayJ�hiUE S66 4-h R�,�D , —tA �186 15 Nameofcontactper pn TeIpphope number E- ailaddress Cti[llfloji r l [^t;" L�Jlgtetf C'-ilQ 1 !'P: trCo U-Ea'•i l-CilLCr,.ln 11d ..lgnating Lou/y Resolution number 0/�l iny J GIL/UGI, f (il� G? L'TV t `�:^AP i�1� -R� Location of property County, DLGF taxing district number SpS�P I Ozl� - i' Igor i46f W Description of real property improvements,redevelopment,orrohpbilitatlon(use addilionaisheers it necessaq) Estirnaled start dale(month,day,year] -v �'AILA 6, I p 210 r Estlmele ccm letlon data month,da 7 ! t P ( Y year) )IU" a 4 t,v�jtctBL J�� 1� s — _ r- Curi•antnuntberj Szlarles Numbnrrtained ISzlariss Num6eraddFUone1 Salaries —� I — = Xyt 4VL C l C i. of --- L' l lhri(1n7o`lro,ld_1L+_.05 Jai"4 o V r° a Pk W6• e ..• - I REAL ESTATE IMPROVEMENTS COST ASSESSEi?VALUE Currentvalues + o C?JC {�'N ew Plus estimated values of proposed project Less values of any property being replaced Nat estimated values upon completlon of project tj 0 Estimated solid waste converted(pounds) 7 Estimated hazardous vvaste converted(pounds) 1v Outer benefits S7 c.lrinot lie: -- TAXPAYER-CERTI • i hereby certify at the represe 'ons in this statement are true. Sianalure of auf Z d r ?�entaflve I Date signed(m nth,day, ear} Frinl° erne of authorized rep esentative Title O SL R JL MrL JW3 lt—�rt_ Page 1 of 2