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Filed €6 E Clerk's�`,�5�ice 20 PAY 20 <br /> S _ _ <br /> r � TATEMENT OF BENEFITS �� M� �M <br /> REAL ESTATE IMPROVEMENTS FORM SBA/Real Prop erty <br /> State Form 51767(13211-07) JUL <br /> Prescribed by the Department of Local Government Fiinance <br /> ve. <br /> s <br /> This statement is being completed for real property that qualifies und�r the f �{tq ah?a-G_od cheer one be ): <br /> CIXRedevelopment or rehabilitation of real estate improvements(IC 1-1.1-12 �3� ' 'v'�I t`t} CEP <br /> ❑ Eligible vacant building(IC 6-1.1-12.1-4.8) I �i 1`�1'CITEp#1K,SEl(JT Nr BEI•lp,I_a_J <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 maybe approved. <br /> 3. To obtain a deduction,application Form 322 ERA/RE or Form 322 ERA/VBD,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-1 1Real 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 6-1.1-12.1-5.36)] <br /> 5. The schedules established under IC 6-1.1-12.14(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 /> • o • <br /> Name of taxpayer <br /> Historic Lincoln Way West Homes,L.P. _ _- <br /> Address of taxpayer(numberand street,city,state,and 21P code) <br /> 303 Lincoln Way West,South Bend,IN 46616 <br /> Name of contact person Telephone number E-mail address <br /> Name of designating body Resolution number <br /> South Bend Common Council <br /> Location of property County DLGF faxing district number <br /> see attached list. St.Joseph <br /> Description of real property Improvements,redevelopment,or rehabilitation(use additional sheets if necessary) Estimated start date(month,day,year) <br /> 5/1/2019 <br /> Single family homes with basements and garages Estimated completion date(month,day,year) <br /> 5/1/2020 <br /> Current number Salaries EMPLOYEES <br /> Number retained !,Salaries Numberaddltional Salaries <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- $14,000 <br /> Plus estimated values of proposed project 3,618,418 $910,000 <br /> Less values of any property being replaced -0- -0 <br /> Net estimated values upon completion of project <br /> I <br /> Estimated solid waste converted(pounds) FEtmted hazardous waste converted(pounds) <br /> Other benefits <br /> improving the residential fabric of the neighborhood. <br /> SECTION 6 TAXPAYER CERTIFICATION <br /> I hereby c7edrepres rese t t ons in this statement are true. <br /> Signature a e r' Title Dates' ned man ,day,year) <br /> 'TY [ J <br /> P age 1 of 2 <br /> C <br />