01-14-08 Council Meeting Agenda & Packet

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~%""''a STATEMENT OF BENEFITS •- a~:--~ = ~`~ REAL ESTATE IMPROVEMENTS ~ ~ ~ State Form 51767 (R2 ! 1-07) "'"~---~ ~'' Prescribed by the Department of Local Government Finance Hsu Thi statement is being completed for real property that qualifies under the following Indiana Code (check one box): (Redevelopment or rehabilitation of real estate improvements (IC 6-1.1-12.1-4) ^ Eligible vacant building (IC 6-1.1-12.1-4.8) 20_ PAY 20_ FORM SB•1 I Real Property INSTRUCTIONS: 1. This statement must be submitted to the body designating the Economic Revitalization Area prior to the public hearing if the designating body requires information from the applicant in making its decision about whether to designate an Economic Revifalization Area. Otherwise this statement must be submitted to the designating body BEFORE the redevelopment or rehabilitation of real property for which the person wishes to claim a deduction. "Projects"planned or committed to after July 1, 1987, and areas designated after July (,.1987, require a STATEMENT OF BENEFITS. (IC 6-1.1-12.1) 2. Approval of the designating body (City Council, Town Board, County Council, etc.) must be obtained priorto initiation of the redevelopment or rehabilitation, BEFORE a deduction maybe approved. 3. To obtain a deduction, application Form 322 ERA/RE or Form 322 ERANBD, Whicheveris applicable, must be filed with the CountyAuditorby the later of.• (1) May 10; br (2) thirty (30) days afer the notice of addition to assessed valuation or new assessment is mailed to the property owner at the address shown on the records of the township assessor. 4. Property owners whose Statement of BeneFts was approved after June 30, 1991, must attach a Form CF-1/Real Property annually to the application. to show compliance with the Statement of8enefits. (IC 6-1.1-12.1-5.1(b) and IC 6-1.1-12.1-5.3Q)J 5. The schedules established under IC 6-1.1-12.1-4(d) for rehabilitated property and under /C 6-1.1-12.1-4.8(1) for vacant buildings apply to any sfatement of benefits approved on or after July 1, 2000. The schedules effective prior to July 1, 2000; shall continue to apply to a statement of benefits filed before. July 1. 2000. •• • Name of taxpayer ~~% ~~~ ~ ~// /^n~~ /mot/ t/ ~ Cie) z~ Address of taxpayer (numberand treet, city, state, and~1P Name of contact perso ~ Tele hone number ~l5v. L~ ~~~- -zoo E-maU address q,~c%~ ~'~X.r~e~ Name of designating body Resolution number Location of roperty q~~ N sf, t~~~r.~reel~ socr~ 8er~ Coun ~- J DLGF taxing district number Description of real property improvements, redevelopment, or rehabilitation (use additional sheets if necessary) Estimated start date (month, day, year) ~ .~ ~`~?~/e ~~r~-l~l~ htm-~ A~pyvr¢zzoo/-~.~~ /~/ i o2vo8 ear) leti n date (mo th da ti d com t ~~l~ E -~~ ~~d Z ~ ~ ~~~ P ~ 6 tO~ ~ ~ . y, y p s ma e f i/ i~ ~ ~ ;j~ l `=~ ~ ~/ G r~YJ~, i ? ~ 3 U ~ - 1 e D -.•. -. Current number Salaries Number retained Salaries Number additional Salaries NOTE: Pursuant to IC6-1.1-12.1-5.1 (d) (2) the COST of the property REAL ESTATE IMPROVEMENTS is confidential. COST ASSESSED VALUE Current values ~ ~~ Plus estimated values of proposed project Less values of any property being replaced Net estimated values upon completion of project • • ~ ~ • -• ~ Estimated solid waste converted (pounds) Estimated hazardous waste converted ou Other benefits L "J i ~' e,. LFi'D,I*t . ' ~.~: _,~, r . cry hereby ce that the represen ations in this statement are true. Signature of d r present five >~ Title ~G-~~~'~~~' Date signed (month, day, year) ~~-~-~aa~ ,_~~ ' ' Page 1 of 2 -~~ c~~.