Laserfiche WebLink
ray STATEMENT OF BENEFITS 24 PAY 20 <br /> REAL. ESTATE IMPROVEMENTS <br /> State Form 55767(R2 t 1-07) FORM SB-1 I Real Property <br /> .eu 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 /> ® Redevelopment or rehabilitation of real estate improvements(IC 6-1.1-12.14) <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 ERAIRE or Form 322 ERA/VBA, 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/Real 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 6-1.1-12.1-5.30)] <br /> 5. The schedules established under 1C 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 /> • TAXPAYER INFORMATION:;�:� <br /> Name of taxpayer , <br /> 12 P%Pr <br /> Address of taxpayer( umber and street,city,state,and ZIP code) <br /> e. it L <br /> Name of contact person �ph number E-mail address <br /> N YVla to �er -e r' -aql � c' 9 <br /> r • • e • r•• a ••• <br /> Nam e of designating body Resolution number <br /> Location of property County 4 DLGF taxing district number <br /> AL5t-C O 7,5,r <br /> Description of real property improvements,redevelopment,or rehabilitation(use additional sheets if necessary) Estimate start date(month,day,year) <br /> (y) Estimated completion date(month,day,year) <br /> Current number Salaries Number retained Salaries Number additional Salaries <br /> $ECTION4 •)TOTAL COST • • ••-a ••• <br /> 7 <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 <br /> Plus estimated values of proposed project <br /> Less values of any property being replaced <br /> Net estimated values upon completion of project <br /> Estimated solid waste converted(pounds) Estimated hazardous waste converted(pounds) <br /> Other benefits Flt in "fork's W Office <br /> ® <br /> CI'T'Y CLERK SOOT �P '"P. f N <br /> ECTION 6 TAXPAYER CERTIFiCATION <br /> hereby certify that the representations in this statement are true. <br /> Signature of authorized representative Title Date signed(month,day,year) <br /> Page 1 of 2 <br />