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STATEMENT OF BENEFITS <br />`` REAL ESTATE IMPROVEMENTS <br />State Form 51767 tR21 1-07) <br />~' ~ Prescribed by the t~pattment of Local Government Finance <br />This statement rs being completed for real property that qualifies under the lotlowing Indiana Code (check one boxy: <br />^ Redevelopment or rehabilitation of real estate improvements (IC 6-1.1-12.1-ji} <br />^ Eligible vacant building (IC 6.1.1-12.1-~1.8) . . <br />20_ PAY 20_ t <br />FORM SB-1 l Real Property <br />INSTRUCTIONS' <br />f. This statement must be submitted fo the body designadng the Economic Revitalization Area prior to the public hearing i(the designating body requires <br />fnlormatlon from the applicant in making its delxsion about whether to designate an Economic Revitalization Area. Othelwtse this statement must be <br />submitted to the designating body BEFORE the redevelopment or rehabilitation of real property for which the person wishes to claim a deduction. <br />'Projects' planned or committed to aRer July t, 1987, and areas designated aharJuly 1, t 987, require a STATEMENT OF BENEFITS. (!C 6-1.1 • f 2. i) <br />2. Approval of the designating body (C1ry Council, Town Board. County Counp7. etc.) must be obtained prior to initiation o/ the redevelopment or rehabJAaron. <br />BEFORE a deduction may ba approved <br />3. To obtain a deduction, application Form 322 ERA/RE or Form 322 ERANBD. Whichever fs applicable, must be fried with the County Auditor by the later <br />o(.• (1) htay 10; or (2J thirty (30) days after the notice of addition to assessed valuation or new assessment is mailed to the property owner at the address <br />shown on the retards o/the township assessor. <br />Q Property owners whose Statement of BenelAs was approved after June 30, 1991, must attach a Form CF-1/Real Properly annually to the application to <br />show compliance with the Statement of Benefrls. (1C 6-t.1-12.1-5.1(DJ and IC 6-t. f-12.1.5.3((7) <br />5. The schedules established under IC ti-1. /-12. ta(d) for rehabAitated property and under !C 6-1.1-12.1-4.8(1) for vacarrf buildings apply to any statement <br />of benafds approved on or afterJuly t. 2000. The schedWas etlactive prior to July 1. 2000, shall continue to apply to a statement of benefrts filed be/ore <br />July t, 2000. ~ _ - <br />Name of taxpayer <br />Ryan Fireprotection, Inc. __ . - ...._ __... <br />Address of ta:payer (number affil street. oitK state. and t!P cadot <br />9740 East 148th Street, Noblesville, IN 46060 - <br />Name of cor+ract person Toleohone rurmber <br />7100 <br />770 <br />317 E-maC addross <br />jart@ryanfp.com <br />James Alt . <br />. <br />e ~ ~ •.•. . •-. <br />Name at designating Doily .. Resotutlon number <br />City of South Bend <br />Loeatwn of wooenv Cowry DLGF laxinp distnd number <br />3950 William RiChardsol5 Court, South Bend, fN 46628 Joseph County ' <br />Desmpaon of real propeny,mprovements. redevelcprnent, or rertab4itauon (use add~tionat sneers J necessary) Estimated scan date tmenth. der year) <br /> February 2008 <br />000 sf light industrial /warehouse <br />New Construction: 30 space ' <br />, year) <br />Estimated t dale l^~nrh. day. <br /> February 2009 <br />e . . • <br />• e •e'e ~"' <br />Number rotafrred <br />Current rwmber - Salaries <br />17 <br />illi <br />16 <br />1 Salana3 <br />16 million <br />$1 Number adQitiortal Salaries <br />15 $904,000 <br />on <br />17 $ <br />m <br />. . <br /> .•. .• . <br />NOTE: Pursuant to IC 6-1.1-12.1-5.1 (d) (2) the COST of the property REAL ESTATE IMPROVEMENTS - <br />is confidential. COST ASSESSED VALUE <br /> $0 $0 <br />Cunent values <br />' <br />t 650 <br />103 <br />1$1 $993,285 <br />ec <br />Plus estimated values of proposed pr , <br />, <br />-- - - ___ <br />~ $0 <br />Less values or any property being replaced $0 <br />Nel estimated values upon completion or project $1,103,650 $993,285 <br />.• ~= <br />Esbinated solid waste converted (pounds) Estimated haze a s) <br />~ I'~rnvl.r <br />• <br /> <br />other benefits i~+4;r r wF,v <br />. DEC 1 2 2Cc~1 . <br /> ,,Ci~+ vc <br /> ~ BE dD, IN. <br />CITY CLEr:i:, .. <br /> • <br />• <br />I hereby certify that th re ntati sin this statement are true. <br />i Signaarre of auttmrued repress <br />I Title CT ~ Date signed ( ay. rear) <br />la o o~- <br />Page 1 of 2 <br />