18-30 Designating Multifamily Real Property Tax Abatement: Historic Lincoln Way West Homes (Bewery) L.P.

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'-Oad in Clerk's Off lea STATEMENT OF BENEFITS _. 20 PAY 20_ REAL ESTATE IMPROVEMENTS State Form 51767(R6 I i 0-14) —' ) � � FORM SB-1 f Real Pfopefty Prescribed by the Department of Local Government Finance iI PRIVACY NOTICE This statement is being completed for real property that qualifies under the following Inldiatlta Fd'd4 eh7h 1fiAtskj I Any information conceming the cost Redevelopment or rehabilitation of real estate Improvements IC li 1.1-12. t E { of the properly and specific salaries p Pr ( ..Ti i C� {, } I iND,Ct�i paid to individual employees by the Residentially distressed area(1C 6 1.1-12.1-4,1) property owner is con Fldentiai per ^y� IC 6-1.1-12.1-5.1. INSTRUCTIONS: 1. This statement must be submitted to the body designating the Economic Revitalization Area prior to the public hearing if the designating body requires information from the applicant in making its decision about whether to designate an Economic Revitalization Area. Otherwise,this statement must be submitted to the designating body BEFORE the redevelopment orrehabilitation ofreal property for which the person wishes to claim a deduction. 2. The statement ofbenefits 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 3221REmust be filed with the County Audiforbefore May 10 in the year in which the addition to assessed valuation is made or not later than thirty(30)days after the assessment notice is mailed to the property owner if it was mailed afierApol 10. A property owner who failed to file a deduction application within the prescribed deadline may file an application between March 1 and May 10 of a subsequent year 4. A property owner who files for the deduction must provide the CountyAud(torand designating body with a Form CF-I/Real Property. The Form CF-1/Real Property should be attached to the Form 3221RE when the deduction is first claimed and then updated annually for each year the deduction is applicable. IC 6-1.1-12.1-5.1(b) 5. For a Form 3B-11Real Property that is approved after June 30,2013, the designating body is required to establish an abatement schedule for each deduction allowed. For a Form SB-1/Real Property that is approved prior to July 1,2013,the abatement schedule approved by the designating body remains in effect. iC 6-1.1-12.1-17 SECTION •' • Name of taxpayer Historic Lincoln Way West Homes, L.P. (a to be formed limited partnership) Address of taxpayer(numberand street city stale,and ZIP code) 803 Lincoln Way West,South Bend, IN 46616 Name of contact person Telephone number E-mail address 322 ( ) SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT Name ofdesignating body Resolution number Location of property County DLGF taxing district number $0 Description of real property improvements,redevelopment,or rehabilitation(use additional sheets ifnecessary) Estimated start date( onth day,year) 5/1/2019 Conversion of a former brewery building into 22 residential apartments. Estimated completion date(month day,yeah 5/1/2020 Curcant number Salaries Number retained Salaries Number additional Salaries No permit issued 1 $40,000 REAL ESTATE IMPROVEMENTS COST ASSESSEDVALUE Currentvalues 1$ 125,000 $ 120,600 Plus estimated values ofproposed project 1$6,404,000 $ 1,430,000 Less values of any property being replaced -0- -0- Net estimated values upon completion of project S6,529,000 1,550 600 Estimated solid waste converted(pounds) Estimated hazardous waste converted(pounds) Other benefits -Improvement of a deteriorated property on a major arterial road that leads from the airport to downtown South Bend.TAXPAYER CERTIFICATIN SECTION • I hereby •itify that th re sNn t tions in this statement are true. Signature a re s fa a Date signed(month,day,year) July 2,2018 Printed name c authorized rqtlfa v d�'J\'7 Title I Marco Mariani,Exe utl a Director Executive Director Page 1 of 2