18-64 Nilkanth, LLC Designating Tax Abatement

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OCT 12 2010 ' i 20 EI t,, STATEMENT OF BENEFITS t a� t I 20 PAY_ _ '�'7•1' REAL ESTATE IMPROVEMENTS t 't tt 'i s ;' FORM SB-1!Real Property j a '- State Form 51767(R6/10-14) , .- c .i 1'1 f' ,e ' Prescribed by the Department of Local Government Finance ,. - "`"-. PRIVACY NOTICE Any Information concerning the cost This statement is being completed for real property that qualifies under the following Indiana Code(check one box): of the property and specific salaries O Redevelopment or rehabilitation of real estate improvements(IC 6-1.1-12.1-4) paid to individual employees by theproperty owner is confidential per ❑Residentially distressed area(IC 6-1.1-121-4.1) IC 6-1,1-12.1-5.1. I 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 Revitalization Area. Other/se,this statement must be i submitted to the designating body BEFORE the redevelopment or rehabilitation of real property for which the person wishes to claim a deduction, 2. The statement of benefits form must be submitted to the designating body and the area designated an economic revitalization area before the initiation of 1f the redevelopment or rehabilitation for which the person desires to claim a deduction. 1 3. To obtain a deduction, thirtya Fom02RE must be after the assessment swith ment noticetIs mailed to the propertyAuditor before May 10 in the owne if It was mailed afteear in which the rfApril 10.assessed A property owner who who made ornot deduction application (30)daysI failed to file a deduction within the prescribed deadline may file an application between March 1 and May 10 of a subsequent The Formyear. 4. A Property showner who files for the ould be attached to the Formtion must322/RE when therovide deductiohe n Is first claimed and Auditor and ithen updated annualwith a ly for eacheal year the deduction Is applicable. e IC 6-1.1-12.1-5.1(b) proved after June 30, 2013, the j 5. deductionFor a Form l owed, For P Formy SB-1/Rethat Is al Property that is approved prior to July 1, 2013,bodyhe abatement schedule approved by the designating body remains in effect. IC 6-1.1-12.1-17 X SECTION 1 TAXPAYER INFORMATION l Name of taxpayer Nilkanth Properties LLC; Address of taxpayer(number and skeet,city state,and ZIP code) z 12422 State Road 23 Granger, IN 46530 E-mail address r Name of contact person Telephone number Vandna Patel (574 )327-9994 vandna@michianadq.com SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT Resolution number Name of designating body Common Council . DLGFtaxingdlsUlctnumber Location of property (County Estimated start date(month,day,yeah pescripl(on of real property Improvements,redevelopment,or rehabilitation(use additional sheets if necessary) b7/1/2018 i 1 Dairy Queen Grill and Chill aprox 3000 Square feet building with drive Thru. 1 stimatedc gellondate(month,day,yea) SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED rr PROU JECT Salaries al1 Current number Salaries Number retained Salaries 350,000.00 f N/A N/A N/A N/a 40 I SECTION 4 ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT REAL ESTATE IMPROVEMENTS COST ASSESSED VALUE I Current values 1lo,660,661.00 Plus estimated values of proposed project 1 E Less values of any property being replaced 1 660 661.00 Net estimated values upon completion of project SECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER• 6 Estimated solid waste converted(pounds) Estimated hazardous waste converted(pounds) E Other benefits i i r s 1 I r I g SECTION 6 TAXPAYER CERTIFICATION t € I hereby certify that the representations in this statement are true.'\ liDate signed(month,day,year) G Signature of authorized representative\ f �• � 0/09/2018 I UT(tle Printed name of authorized representative resident i Vandna Patel • 1 Page 1 of 2 4 I