18-37 Rew, LLC Designating Tax Abatement

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Filed In Clerk's Office STATEMENT OF BENEFITS 20 PAY 20 E REAL ESTATE IMPROVEMENTS p State Form 51767(R412-13) LAUG 0 a 20 8 FORM SB-1 I Real Property Prescribed by the Department of Local Government Fina ce PRIVACY NOTICE This statement is being completed for real property that qualifies under th follow (lcftdL{t tfieol4u) The cost and any specific individual's ❑ Redevelopment or rehabilitation of real estate improvements(IC 6-1.1 1 gp�J I H B3E IN salary Information Is confidential;the CLERK, balance of the filing is public record -1 Residentially distressed area(IC 6-1.1-12.1-4.1) CLERK,- per IC 6-L1-12.1-5.1(c)and(d). 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 or rehabilitation of rea/property for which the person wishes to claim a deduction. "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) 2 Approval of the designating body(City Council, Town Board,County Council,etc.)must be obtained prior to initiation of the redevelopment or rehabilitation,BEFORE a deduction may be approved. 3. To obtain a deduction,a Form 3221RE must be filed with the County Auditor before 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 after April 10. If the property owner misses the May 10 deadline in the initial year of occupation,he can apply between March 1 and May 10 of a subsequent year. 4. Property owners whose Statement of Benefits was approved after June 30, 1991,must attach a Form CF-i/Real Property annually to the application to show compliance with the Statement of Benefits. 11C 6-1.1-12.1-5.1(b)and 1C 6-1.1-12.1-5.3Q)j. 5. The schedules established under IC 6-1.1-12.1-4(d)for rehabilitated property apply to any economic revitalization areas designated after June 30,2000, unless an alternative deduction schedule is adopted by the designating body(IC 6-1.1-12.1-17). The schedules effective prior to July 1,2000,shall continue to apply to economic revitalization areas designated before July 1,2000. • • _6:- .':ICY Name of axppayer KW - k ,p n i.L". Address of taxpayer(numberand street.city.state,and ZIP code _ " 12 aiJ �a" QkkN} J• l�IJQ- Name of contact perso \ Telephone number E-mail address n. 1,�, Wa Uv� Name of des' nating body Resolution number t l/.l9tl�t( Location of properSd ounty DLGF taxing district number 38 rkrz u � os� Description of�ree�al p�rooperly improvements,redevelopment,or rehabilitation(use additional sheels irnecessa Estimaled start date(month,day,yeao 2uCrI&A): ��S�D� S,F 5b�lc ,IIGC �jQ°' r (� 1 - nL C-4, t f>l Estimated crmpletion date(month,day,year) ry DU L, ? t Current nu ber S Ian.es Num rrela'.-ed flares Numter additional Salariesf �L, - 35y0oo-ttoroo� � sleva ll� oo� 25 3Sr.. Ilptaoa REAL ESTATE IMPROVEMENTS COST I ASSESSED VALUE Current values thxJCJ 129, 1460 1 Plus estimated values of proposed project / ooa Less values of any property being replaced Net estimated values upon completion of project Estimated solid waste converted(pounds) Estimated hazardous waste converted(pounds) Other benefits CERTIFICATION SECTION 6 TAXPAYER I hereby certify that the representations in this statement are true. Signature of authorized representative Title Dale signed(month,d y,year) d L�, 18� Page 1 of 2