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~~ ,. Al~PUCATION FOR DEDUCTION FROM ASSESSED VALUATION 3~ E A
<br />OF STRUCTURES iN ECONOMIC REVITALIZATION AREAS
<br />:~ ~ State Forth 18379 (R4 f 11.95)
<br />~.
<br />NSTRUCTIONS:
<br />r, This form is to be filed in person or by mat! with the Auditor of the county in which the property is located before May 10 of the year in which addition to as-
<br />sessed valuation (or new assessment) is made, or not later than thirty (30) days aRer marlrng date of notice of assessment (Form J 1) if such notice is no't
<br />given before Aprrl f0 of that year (IC 6-1.1-12.1-5).
<br />?. Copy of Fomr J 1 must be attached.
<br />t. A property owner may not receive this deduction for the same repairs or improvements for which a deduction is obtained under either 1C 6-1. f-12-18 or
<br />IC 6-1.1-12-22 (IC 6-t.1-12-6).
<br />t! A copy o(the statement of benefits (Form S8-1) must be attached to this application.
<br />i. The compliance with statement of benefits (Form CF-1) must be filed with this application and the designating body (!C 6-1. f-12.1-5.1).
<br />i. A copy of the resolution most be attached to this application.
<br />'. Please see IC 6-1.1-12.1 fqr further instructions.
<br />?. Taxpayer completes Sections 1, ll and 111 below.
<br />1. !f property located in an economic revitalization area is also located in an allocation area as defined in !C 36-7-14-39 or fC 36-7.15.1-26, an application for
<br />the property tax deduction may not be approved unless the Commission that designated the allocation area adopts a resolution approving the application
<br />(1C 6-1.1-12.1-2(k)).
<br />). Except for ERA's designated before December 31, 1987, a deduction for redevelopment or rehabilitation is not authorized for the following facilities
<br />(IC 6.1.1-Z2.1-3). '
<br />a. Private or commercial goK Nurse j. Any facility, the primary purpose of which is (a) Retail food and
<br />they
<br />b. Country club
<br />c. Massage parlor
<br />d. Tennis couR
<br />e. Skating facility, including roller skating, skateboarding Qr ice skating
<br />f. Racquet sport laclliry (including handball or racquet ball coup)
<br />g. Hot tub facility
<br />h. Suntan facility
<br />i. Racetrack
<br />bevera a servrce, (b) Automobile sales or servrce, or (c) o
<br />retail; unless the facility is located in an economic develop-
<br />ment- target area established under IC 6-1.1-12. f-7).
<br />k. Residential, unless the faclity is a multifamily faaliry that cont-
<br />ains at least 20 % of the units available for use by !ow and mod-
<br />erate income individuals or unless the facility is !opted in an eC-
<br />onomfcdevelopment target area established under IC 6-1.1-12.i-7,
<br />or the area is designated as a residential distressed area which
<br />is required to meet conditions as cited in 1~6-1.1-12.1-2 (c) (1 & 2).
<br />1. Package liquor store (see 1C 6-1.1-12.1- 3(e)(12)J
<br />The owner hereby applies to the County Auditor for a deduction pursuant to I.C. 6-1.1-12.1-5 beginning with the assessment date March 1,19
<br />County Township T:i::;.'tg district Key number
<br />St. Joseph Centre South Bend -Centre 23-1050-3201.06
<br />Name of owner
<br />Austin J. Hickey
<br />Property address (number and streeC ary, state, ZIP code)
<br />P. O. Box 2618,,,_South Bend, Indiana 46680
<br />legal description from Forrn 1t Date of Forth 11
<br />Lot 27, Kensin ton Farms East, P.U.D. Section 6 Part 2
<br />Type of structure Use of strt>eture S~gle
<br />Vacant property,. Residential Subdivision Lot Family Residential
<br />Governing body that approved ERAdesgnation Resolution number
<br />Date ERA designation approved (moat be before March 1] •
<br />,':, ?"•, ; "-• • ' ~ , `;. , : SECTION U=;:YE.RIFtCA7iQN::OF;OWNER:.flRtFiEP,RESE ATIYE ' ..., ..::: ..<. f.... <`;. ..r..> , ~+?~~.~,ps's~„<;t?~>
<br />'signature of owner represent ve (1 help y cent hat there esentations on this application ate true)
<br />~ Date signed
<br />i~
<br />~~~ _
<br />Address (number and street, ary. state, Z!P e ~ ~,`..,~:
<br />``
<br />~
<br />°
<br />P. O. Box 2618, outh Bend, I Iona 46680
<br /><S1rG7'10N111','S>"RUCTURES-.. 1 ~ ''+~. ' • -
<br />A. Rehabilitation structure t. Assessed valuation AFTER rehabilitation $ 'II~~~ ~.:~
<br />2. Assessed valuation BEFORE rehabilitation $ n,~ n, ,~•
<br />
<br />3. INCREASE in assessed valuation ~ ,~, n,
<br />$ rla, '~ ~~, . ,;•
<br />.~
<br />a. Assessed valuation eligible for deduction ~ ~."` ,~\ ~ ~~~~~ ~`
<br />.New structure 1. Assessed valuation $ r J ~~`~~`'"
<br />2 Assessed valuation eligible for deduction G`'
<br />'; '> ..:~' ' ;'SEC~I9.NtV;':V>rR)FECATI(JTi:QF:'TOKt~r'.1 .,.OBTA. ,. S`SESSAR> >~. „ ; ...,~.;~~y. ,t~..:~~.~
<br />1 verity that the above described structure was assessed and the owner was nctified o with the
<br />'
<br />ns i ection III are correct.
<br />effective date of the assessment being March 1, 19 and that the assessed valua
<br />;signature or Township (or Trustee) Assessor Township Date
<br />CONTINUED ON THE REVERSE SIDE
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