05-14-12 Council Agenda & Packet

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SIATF-MIZNI UI- titlV111:t1-llb Ldesignatean f'.T+ a ? '€ r%jmivr ao-n r rr .,r PERSONAL PROPERTY .��State Form 51764(R/1-06) PRIVACY NOTICE Prescribed by the Department of Local Government Fina The cast and any specific individual's salary information is confidential;the balance of the filing is public record °� -^� per IC 6-1.1-12.1-5.1 c and d. INSTRUCTIONS. 'fC��lxt+�v This statement must be submitted to the body designating the Ec ft�l'r�W t N M&Pur tic hearing if the designating body requires information from the applicant in making its decision about whether to omies Otherwise this statement must be submitted to the designating body BEFORE a person installs the new manufacturing equipment and/or n:search and development equipment,and/or logistical distribution equipment and/or information technology equipment for which the person wishes to claim a deduction. 'Projects'planned or committed to after July 1, 1987, and areas designated after July 1, 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 prior to installation of the new manufacturing equipment and/or research and development equipment and/or logistical distribution equipment and/or Information technology equipment, BEFORE a deduction may be approved 3. To obtain a deduction,a person must file a certified deduction schedule with the person's personal property return on a certified deduction schedule(Form 103-ERA) with the township assessor of the township where the property is situated. The 103-ERA must be filed between March 1 and May 15 of the assessment year in which new manufacturing equipment and/or research and development equipment and/or logistical distribution equipment and/or information technology equipment is installed and fully functional, unless a tiling extension has been obtained. A person who obtains a filing extension must file the form between March 1 and the extended due date of that year, 4. property owners whose Statement of Benefits was approved after June 30, 1991, must submit Form CF-1/PP annually to show compliance with the Statement of Benefits. (106-1.1-12.1-5.6) 5. The schedules established under IC 6-1.1-12.14.5(d)and(e)apply to equipment installed after March 1, 2001. For equipment installed prior to March 2, 2001, the schedules and statutes in effect at the time shall continue to apply. (1C 6-1.1-12.1-4.5(o and(g)) e ®' Nam of tax ayer VZ I f�aklkCs� I(T, Address of taxpayer number and street,city,state,and ZiP code) l�D l Com Name of contact person Telephone number Michgi✓1 J. Morris 5�1y- Vb(6-zVDS ® m ® e r s ® • ®•e a ••e Name of designs' g body Resolution number(s) Ci t CID rn Location of property County DLGF taxing district number Gcarmars -11 coq Description of manufacturing equipment and/or research and development equipment ESTIMATED andlor logistical distribution equipment and/or information technology equipment. START DATE COMPLETION DATE (use additional sheets if necessary) Manufacturing Equipment J R&D Equipment Logist Dist Equipment IT Equipment Curren:.u ,er Salaria� Number retained Salaries' Number additional Salaries ,t� ,158. q 1 t5 0IT 1513.y 1 �. b5,a�o i ® 8 B • '8 t ® '` Milli III Jill NOTE:Pursuant to!G 6-1.1-12.1-5.1 (d}(2)the MANUFACTURING R$O EQUIPMENT LOGIST DIST IT EQUIPMENT EQUIPMENT EQUIPMENT COST of the property is confidential, COST ASSESSED COST ASSESSED COST ASSESSED COST ASSESSED VALUE VALUE VALUE VALUE Current values 40`i,3k1"i Plus estimated values of proposed project 45q.530 Less values of any property being replaced Net estimated values upon completion of project Estimated solid waste converted(pounds) Estimated hazardous waste converted(pounds) Other benefits: � a hereby certify that the representations in this statement are true. Si tur f author epre i F Tit1 ` Date signed(month,day,year) 1 4 '141 cix,Aie J&Wr