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~~`°"'. ;. ,STATEMENT OF BENEFITS <br />~i~ "" . ;. `~ State Form 27167 (R7112-01} <br />Prescribed by the Department of Lows Government Finance <br />ie.e 'e' <br />rlvsrRUCr~olvs: <br />FORM <br />SB-1 <br />i. This statement must be submitted to the body designating the economic revitalization area prior to the public hearing if the designating body requires infor- <br />mation from the applicant in malting its decision about whetder to designate an Economic Rewtalizadon Area. Otherwise this statement must be submitted <br />to the designating bodyy BEFORE' a person installs the new manufacturing equipment and ! or research and development equipment, or BEFORE the <br />n:development orn:habilitation ofreal property for which the person wishes to clarm a deduction. Projects" planned or committed fo after July i, l987 and <br />areas destgnated after July 1, 1987 require a STATEMENT OF BENEFITS. {!C ti-1.7-i2i) <br />2 Approval of the designating body (City Council, Town Board, County Council, etc.) must be obtained prior to initiation of the redevelopment or rehab!litation, <br />or pnor to installation of the new manufacuring equipment and I or research and development equipment, BEFORE a deduction maybe approved. <br />3. To obtain a deduction, Form 322 ERA, Real Estate Jmprovemenfs and ! or Form 322 ERA / PPME and 1 or 322 ERA 1 PPR 8 DE, must be filed with the <br />county auditor. (nth respect to real property, Form 322 ERA must be fried by the later of.• (i) May f0; or rr2} thirty (30} days after a notice of increase in real <br />property assessment is received from the township assessor. Form 322 ERA 1 PPME and ! or 322 ERA rjPR & DE must be filed between March i and May <br />15 of the assessment year in whtch new manufacturing equipment and 1 or research and development equipment becomes assessable, unless a filing <br />extension has been obtained. A person who obtains a frlmg extension must file the form between March 7 and the extended due date of that year. <br />4. Property owners whose Statement of Benefits was approved after June 30. 1991 must submit Form CF - 1 annually to show compliance with the Statement <br />ofeenefits. {!C 5-i.i-i2.l-5.6} <br />5. The schedules established under 1C 8-1. i-12.i-4(d) and iC 6-i. i-i2. i-4.5 (e) effective July i, 2000 apply fo any statement of benefits fried on or after <br />July i, 2000. <br />The schedules effective prior to July 1, 2000 shat) continue to apply to those statement of benefits filed before July i, 2000. <br />• - f ' • <br />Name of taxpayer <br />E-.1p(~t-t.- ~J1C~tsS ~ LLP <br />Address of taxpayer (street and number, city, state and ZIPcode) <br />/~ ` ' A, <br />gjZS EiiS't~' SEF1=1:25•ohJ ~~c~ULGJR2D 1 ~~aJ~l FJ~ ~~ i N ~t~o~~ <br />Name of contact person <br />~>Rt~iv Mlit..r~ ~P vF C~P~~-t~:~S 1j~~ISS ~~rnF~, 1NL. Telephone number <br />(574) Z3a'_737~ <br /> <br />Name of designating body Resolution number <br />/~ _ <br />~J' oyT'fi~ (~' BNb CannM'~N ~t9:JG.lI~ <br />Location of property County Taxing district ~,_ <br />1n~ ' 4 SCc"no t.[ Z 3 cat..l !2Z r ST : ~~.~t+ G~rr.~ ov/,+-~.~wtP <br />Description of real property improvements acid 1 or new manufacturing equipment and 1 or ESTIMATED <br />research and development equpment (use additional sheets if necessary) Start Date Completion Date <br />~? aPCs`zy 15 L~E~~I,t DF_+-E[~oPEp j~~ (~o. SIt.1Gl,G- Real Estate ~~'v~/~ ~A~-s-'~( Z <br />1'1~.Mil?f jZt=_StD~NTtAr1- ~-~TS ~ WH-tGN- fit: New MfgEqulpment <br />IrG~~D 'vJl'r)-t'u~ L~}FF4~I~T("~ FA~t.1.S+ Pl'1~ASC. ~~ <br />RBDE <br />SE.GTtoN "(-1•+I~CG ~Ropo~Si_.1~~, <br /> <br />Current number Salaries Number retained Salaries Number additional 5alaties <br />~.1~ 'N~ uA- ~•-/~- i\l~- N~4 <br /> <br />NOTE: Pursuant to tC 6-1.7-12.1-5.1 (d) (2) the Reai Estate improvements Machinery Research and Development <br />Equipment <br />COST of the property is confidential. Cost Assessed Value Cost Assessed Value Cost Assessed Value <br />Current values C~RfLCNT 1~~C.1=~- 2.~ a7V <br />Plus estimated values of proposed project 2 80 Doo <br />Less values of any property being replaced N <br />Nei estimated values upon completion of project ,2,t380,~ioo <br /> <br />.Estimated so0d waste converted (pounds) R~t~} Estimat ado t~'~Q~ ~~% <br />h <br />b <br />f <br />Nt~' <br />Ot <br />er <br />ene <br />its: <br />~dOV 3 0 ~~~~~~ <br />,IQF;M YQOR~ E <br /> <br />• <br /> <br />I hereb certi that the re resentations in this statement are true. <br />Signature of authorized representative Title Oaie signed (month, day, year) <br /> <br />1 <br />