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- SFP <br /> STATEMENT OF BENEFITS � FliM_pAY20`REAL ESTATE IMPROVEMENTS Slate Form 51767(R412.1J) 68.1 1 Roal property <br /> Prescribed by the Department of Local Government Finance <br /> ffPRIVACYNOTICE CY NOTICE <br /> This statement is being completed for real propotty 11wi qualitios under the foltov ing Indiana Ccde(check one box): y specific indivbual's❑ Redevelopment or rehabilitation of real estate improvements(tC 6-3.1-12.1 A) n Is eontdenaal;the <br /> np Is pub is rccortl <br /> t7 Re5ldenUallydlslressedareeQC61,112.1.4.1) 15.1(c)and(d). <br /> INSTRUCTIONS: <br /> 1. This statement must be submifted to the body designaling the Economic Revdallzalforl Aran prior to the public hearing If the designating body requires <br /> infor7na0an from the appllcent In making lis decision about whetherio designate an Econom/c Revilabzallon Area. Olhenvise,this statement must ba <br /> submitted to the designating body BEFORE the redevelopment ortehablldatlon of reel property for which lire person glishes to claim a deduclbn. <br /> 'Projects"planned or committed to after July 1. 1`987.and areas designated aher Poly 1,1987,require a STATEMENT OF BENEFITS. <br /> 2 Approval of tho ciesignaling body(City Council, TOM Board,County Council,etc.)must be ohleined priorto Initiation of the,ledevelopmentor <br /> relrsbildetlon,BEFORE a deduction may be approved. <br /> 3. To obtain a deduction,a Foml 32ME must be filed I fh the CounlyAtrchlorbetare May 10 in this year In whkh the addition to assessed valuation Is <br /> made or not later than thirty(30)days afterlho assessment notice Is mailed to the property Owner it R was mailed after April 10. little property olvner <br /> misses the May 10 deadline In the fnlllal year of occupation,he can apply belween March I and May 10 of a subsequent year. I j <br /> 4. Property owners Ivhose Statement of Benefifs was approved after June 30,1991,must attach a Form CF-1fReal Property annually to the appllcallwl to <br /> show complianco with the Statement of Bene(ls, pC 6.1.1-12.1.5.1(b)and 1C 61.1-12.1-5,3nj J. <br /> 5. Tho schedules eatabrished underiC 6-1.1-12.1-4(d)for rehablidalcd property apply to any economic revilatizolion areas designated alley June 30,2oo0, <br /> unless an aftemahwe deduction schedule Is edopled by the designating body(IC 6 1.1-12.1-17). The schedules effective prior to July i,2000,shall <br /> continue to apply to oconomic rrOoffmlon areas designated before July 1,2000. <br /> F e of Lxpaycr <br /> onnr el Wskngln Squar•LLC <br /> ss of taxpayer(number ond46ael,dry,slate.and Z/Pcodo)47ur Avenue,8n1 Flow,Long Island city,NY 11101 of contact person Tele one numter y Mperiades 18781, 55 &ma8 oddre6S I <br /> ( � the orvcrohvashlnplonspuarel'2�p:neil.rom <br /> Nome tit dea}gneUng body <br /> �rvr Common�MN Reaofulbn nuLrbar <br /> i-V 3�t <br /> nOrproperty County - DLGFtoxina district number i <br /> 211 W.Via sNnglon St efia1l SL Josaph <br /> Descnpbon of real properly improverrenLs.redevelopment,or tehabiolation fine aMtorrotaheets tl recessarr) Eslimeled start dais(month.day yeah <br /> D9rz41t6 <br /> The b0ddng'•age&-A olgritcanl Worred mein;one we Muos have male 1ho trralvq ohsolnscnrt�snr�r,n cornplon mrdnm'catlon a WIdIng nduc Eist"led oorrip:etm date(maHf1 day.ycao <br /> ' # D1101117 <br /> Gu«enlnumber Salades Numbarclalned Salaries Numberodail'onal Salariss " - <br /> 0 0 20 1200 <br /> REAL ESTATE IMPROVEIAENTS <br /> COST ASSESSED VALUE <br /> Current values <br /> Plus estimated values of proposeal project 2M71 <br /> Less values of any propertybeing replaced <br /> ket esllmaled values upon completion of pro eel <br /> Estlmaled solld wasle converted(pounds) Lsllmaled hazardous wasle converted(pounds) <br /> Offer ben•fib - - <br /> .1 <br /> I hereby cefttfyy that the representations in this statement are true. <br /> S1gn so auUwraed represen Toe <br /> Dale signed(month,day year) <br /> Menegsr 9118111, <br /> Page 1 of 2 <br />