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STATEMENT OF BENEFITS <br /> Y REAL ESTATE IMPROVEMENTS FORM 59-4 1 Rea!Property <br /> State Form 51766 8211-07 <br /> Prescribed by the Department of Local Government Finance <br /> This statement is being completed for real property that qualifies under the following Indiana Code(check one box): <br /> x Rgdeveldpment o(r�habil ati44n of eel estate improvements(IC&-1.1-12.1-4) <br /> a Eligible vacant budding <br /> INSTRUCTIONS: <br /> 1. This statement must be submitted to the body designating the Economic Revitalization Area prior to the public hearing if the designating body requires <br /> information from the applicant in making its decision about whether to designate an Economic Revitalization Area, Otherwise 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. "Projects" <br /> planned or committed to alter July 1, 1987, and areas designated after July 1, 1987,require a STATEMENT OF BENEFITS. <br /> 2. Approval of the designating body(City Council, Town Board, County Council, etc.)must be obtained prior to initiation of the redevelopment or rehabilitation, <br /> BEFORE a deduction may be approved <br /> 3. To obtain a deduction, application Fort 322ERAIRE or Form 322 ERANBD, Whichever is applicable, must be filed with the County Auditor by the later Of <br /> (1)May 10;or(2)thirty(30)days after the notice of addition to assessed valuation or new assessment is mailed to the property owner at the address shown <br /> on the records of the township assessor. <br /> 4, Property owners whose Statement of Benefits was approved after June 30, 1991, must submit Form CF-11RE annually to show compliance with the <br /> Statement of Benefits. (IC 6 1.1-12,1-5.i(b)) <br /> 5. The schedules established under IC 5-1.1-12.1-4(d)for rehabilitated property and under 1C 6-1.1-12.148(1)for vacant buildings apply to any statement of <br /> benefits approved an 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, <br /> 2000. <br /> Name of taxpayer <br /> LOCK JOINT TUBE, LLC,STEEL WAREHOUSE COMPANY,LLC AND/OR A&F REALTY(AFFILIATED REAL ESTATE HOLDfNG COMPANY) <br /> Address of taxpayer(number and street city,state,and ZIP code) <br /> 515 W. Ireland Road,South Bend, Indiana 46614 <br /> Name of contact person Telephone number E-mail address <br /> Robert Strzelecki,Controller (574)299-3455 strzeleckib @ljtube.com <br /> Name of designating body <br /> Common Council of the City of South Send Resolution number , <br /> Location of property County DLGF taxing district number <br /> 1217 S.Walnut Street, South Bend, Indiana St,Joseph 026(South Bend—Portage) <br /> Description of real property improvements,redevelopment,or rehabilitation(use additional sheets if necessary) Estimated start date(month,day,Hear) <br /> roposed investment of between $1.0 and $1.6 million+ to construct a new heightened roof structure covering April 1,2012 <br /> pproximately 60,OOG SF together with a building addition of approximate) 30,000 SF to be used fo Estimated completion date(month,day,year) <br /> I'MAlanufacturing.st are a and shi In y March 1,z01s <br /> p' purposes. <br /> ° En I I h Ely&9 9l1Qq2_411"' m . - m •-••• • --m <br /> Current number Salaries Number retained Salaries - Number additional Salaries <br /> 56 —$2,300,000+/_ 56 <br /> $2,300,000+/- 7.11 $210,000-$330,00 <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. <br /> COST ASSESSED VALUE <br /> Current values <br /> 989,500 <br /> Pius estimated values of proposed project —$1.0 MM-$1.6MM Det. under Reg. 17 <br /> Less values of any property being replaced N/A NIA <br /> Net estimated values upon completion of project x$1.0 MM—1.6MM+ pet. under Reg. 17 <br /> ° • • e • -m y <br /> Estimated sofid waste converted(pounds) Estimated hazardous waste converted(pounds) <br /> Other benefits: <br /> m <br /> ° <br /> I hereby certify that the representations in this statement are true, <br /> Signature of authorized rep sentative Title Date signed(month, day,year <br /> Robert Strzelecki,Controller March20i2 <br /> Page 1 of 2 <br />