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. ,.�,��,,, <br /> �� ' � °'�� STATEMENT OF BENEFITS <br /> �a!�� _' REAL ESTATE IMPROVEMENTS Fortnn ss•1/RE <br /> ��� <br /> �y � State Form 51767(R I 1-06) <br /> '°'• Prescribed by the Department of Local Govemment Finance <br /> INSTRUCTlONS: <br /> 1. This statemenf must be submitted to the body designating ihe Economic Revitalization Area prior to the public hearing if the designating body requires <br /> iniormation from the applicant in making ifs decision about whefher to designate an Economic Revitalization Area. Oihenvise this statement musi be <br /> submitted to the designating body BEFORE the redeve/opment or rehabilitation of real property for which the person wishes to claim a deduction.'Projects" <br /> planned or committed to after Ju/y 1, 1987,and areas designated after July 1, 1987,require a STATEMENT OF BENEF/TS. (fC 6-1.1-12.1) <br /> 2. Approval of the designating body(Cify 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 obfain a deduction,Form 322 ERA,App(ication for Deduction from Assessed 1/aluation of Structures in Economic Revitalization Areas,must 6e filed <br /> with the County Auditor by the later of.•(1)May 10;or(2J thirty(30)days a8er the notice of addition to assessed valuation or new assessment is meiled to <br /> fhe property owner at the address shown on the records of the township assessor. <br /> 4. Propeny owners whose Statement of 8enefits was approved after June 30, 1991, must submit Form CF-1/RE annually to show compfiance wifh the <br /> Statement of Benefits. (IC 6-9.9-92.1-5.1(b)) <br /> 5. The schedules esta6/ished under IC 6-1.1-12.1-4(d)effective July 1,2000,app/y to any statement of benefits filed on or aRer July 1,2000. The schedules <br /> effective prior to July 1,2000,shail continue to apply to those statement of benefits filed before July 1,2000. <br /> • �- � <br /> Name of taxpayer <br /> Roger&Alison Wilson <br /> Address of taxpayer(number and street,city,state,and ZIP code) <br /> 8120 Chagrin Mills Rd,Chagrin Falis,OH 44022 <br /> Name of contact person Telephone number <br /> J.Bemard Feeney (574)233-1841 <br /> • • • � . • • -�•• � ••• <br /> Name of designating body Resolution number <br /> City of South Bend Common Councii <br /> Location of property County DLGF taxing district number <br /> Alfton Court East of Bridgeton Drive St.Joseph South Bend-Centre . <br /> Description of real property improvements,redevelopment,or rehabilitation.(use additional sheeis it necessary) ESTIMATED <br /> Construction of a single family home in Norawood Manor Start Date Completion Date <br /> 08/18/2011 12/31/2014 <br /> • • • . • -•-• � •-• <br /> Current number Salaries Number retained Salaries Number additional Salaries <br /> 0 N/A N/A N/A N/A N/A <br /> • . . • . • -••. . •-. <br /> NOTE:Pursuant to IC 8-1.1-12.1-5.1 (d)(2)the REAL ESTATE IMPROVEMENTS <br /> COST of the properry is confidential: COST ASSESSED VALUE <br /> Current values s,soo.00 <br /> Plus estimated values of proposed project 2�s.000.00 <br /> Less values of any property being repiaced <br /> Net estimated values upon completion of project 2�s,soo.00 <br /> • • � � • -• � <br /> Estimated solid waste converted(pounds) Estimated hazardous waste converted(pounds) <br /> Other benefits: <br /> • <br /> I r by certify that the representations in this statement are true. <br /> Sign ture of o' presentative Trde Vice-President, Date si ed(mo h,day,year) <br /> Lang,Feeney&Associates $ � <br /> / <br />