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0 �i "`� "'� STATEMENT OF BENEFITS <br />REAL ESTATE IMPROVEMENTS <br />State Form 61767 (R211 -07) <br />� � Prescribed by the Department of Local Government Finance <br />�ma <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- 12.1 -4) <br />❑ Eligible vacant building (IC 6- 1.1- 12.1 -4.8) <br />20 PAY 20_ <br />FORM SB -1 1 Real Property <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, 1967, require a STATEMENT OF BENEFITS. (1C 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. 7o 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 /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 s,3Q)j <br />5. The schedules established under IC 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 appiy to a statement of benefits filed before <br />July 1, 2000. <br />:...:�SECTION I TAXPAYERiNFORMATION <br />Name of taxpayer <br />Hoosier Tank and Manufacturing incorporated <br />Address of taxpayer (number and street, city, state, and ZIP code) <br />1710 North Sheridan Street South Bend, IN 46628 <br />Name of contact person <br />Telephone number <br />E -mail address <br />Sue A. Kinnucan <br />(574) 232 -8368 <br />skrnnucan(a hoosiertank.co <br />:�SECTIONI 2 LOCATION.AND DESCRIPTIONOFPROPOSED PROJECT <br />Name of designating body <br />Resolution number <br />Common Council of South Bend <br />LQcation of property <br />County <br />0l_GF taxing district number <br />1710 North Sheridan Street <br />St Joseph <br />Description of real property improvements, redevelopment, or rehabilitation (use additional <br />sheets if necessary) <br />faccess]forrx <br />Estimated start date (month, day, year) <br />Addition of 70'x 290' building, including new shipping docks with turn around <br />06/01/2011 <br />Estimated completion dale (month, day, year) <br />semi- trailers <br />12/31/2011 <br />e ESTIMATE OF s <br />OF •s•s • PROJECT <br />Current number Salaries Number retained Salaries Number additional salaries <br />72.00 $3,000,000.00 1, 72.00 $3,000,000.00 1 15.00 $600,000.00 <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 1.477.832.00 1,245.200.00 <br />Plus estimated values of proposed project 760,000.00 54Q,Oflfl.00 <br />Less values of any property being replaced 0.00 <br />0,00 <br />Net estimated values upon completion of project 2,237,832.00 1,785,200.00 <br />Estimated solid waste converted (pounds) Estimated bazar �� lie $ <br />Other benefits <br />APR 1 8 201 <br />JOIN VOORDE <br />CITY CLERK, SOUT64 PFK ON' <br />I hereby certify that the representations in this statement are true. <br />1=ignat o f autho 'ze representative Title Date signed (month, day, year) <br />l,I c 4t Controller 04/15/2011 <br />Page 1 of 2 <br />