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Filed in Clerk's Office <br /> 7,470, 44;� STATEMENT OF BENEFITS _ _ 20 19 PAY 20 20 <br /> VACANT BUILDING DEDUCTION — <br /> sate Farm 55182(R/2-14) FORM Se-1/VBD <br /> 4�f/ F rescribed b the De artment of Local Government -inance JAN i <br /> y p J;,.. ' 19 <br /> PRIVACY NOTICE <br /> This statement is being completed for real property that qualifies as an"eiigi. • ttAl d by <br /> it ''CSnThe cost and any spera!c individual's <br /> IC6-1,1-12.1-1(17). REE:tIr;.':I'I C'WLER salary Info abon is corrhdei'v.eA,the <br /> CITY CLERr BEND,INbalance of the filing is pudic record <br /> per k 6-1.1-12.1-6.1(c)and(d). <br /> INSTRUCTiONP: <br /> 1. This statement must be submitted to the body designating the Economic Revitalization Area prior to the public hearing if the designating body <br /> requires info mation from the applicant in making its decision about whether to designate an Economic Revitalization Area. Otherwise,this statement <br /> must be submitted to the designating body BEFORE the occupation of the eligible vacant butding far which the person wishes to claim a deduction. <br /> 2. To obtain a wecanr building deduction.a Form 322NBD must be filed with the county auditor before May 10 in the year in which the property owner <br /> or his tenant occupies the vacant building or not later than thirty(30)days after the assessment notice is marled to the property owner if it was <br /> mailed afterApril 10. ff the property owner misses the May 10 deadline In the initial year of occupation,he can apply between March 1 and May 10 <br /> of a subsequent year. <br /> 3 A property owner who files the Form 322/VBD must provide the county auditor and the designating body with a Form CF-iNBD to show compliance <br /> with the approved Form SB-1NBD. The Form CF-1NBD must also be updated each year in which the deduction is applicable. <br /> SECTION 1 TAXPAYER INFORMATION <br /> Name of taxpaye <br /> SWGS Properties, LLC (Operating Entity is Grace Steel LLC-Pam Andre is Woman Owner) <br /> Address of taxpa er(number end street,city,state,and ZIP coda) <br /> 21601 Durham Way,Bristol, IN 46507 <br /> Name of contact>arson Tefepheno number 'E-marl address <br /> David Andre ( 574 ) 536-2445 davidandrei gracesteelservice.com <br /> SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT <br /> Name of deeignasing body Reicluuon number <br /> South Bend City Council <br /> Location of properly DLGF taxing district number <br /> 2920 West Sample Street,South Bend, IN 46619 'County <br /> ST JOSEPH 026 <br /> Description of ell{ible vacant building that the property owner or tenant will occupy(use additional sheets if necessary). Estimated occupancy date(month,day,year) <br /> Planned$500,000 building upgrades to operate mfr/logistics facility including modern roof, flooring, 2/15/2019 <br /> and loading cocks.There are 2 parcels for vacant building/land that have not been utilized for close Estimated date placed-in-use(month,day,seer) <br /> to 5 years. LE gal description is 400'On Sample Beg 330'E&35'S NW Cor NW Sec 15-37-2e. 12/31/2020 <br /> SECTION 3 ES TIMATE OF EMPLOYEES AND SALARIES AS A RESULT OF PROPOSED PROJEC f <br /> Current number Salaries Number retained Salaries Number additional Salaries <br /> 0 0.00 0 0.00 10 416,000.00 <br /> SECTION ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT <br /> REAL ESTATE IMPROVEMENTS <br /> COST - -ASSESSED VALU1`__ <br /> Current value t 549,000.00 <br /> Plus estimate i values of proposed project 500.000.00 500,000.00 <br /> Less values a1 any property being replaced <br /> Net estimated values upon completion of protea 500,000.00 1,049,000.00 <br /> SECTION 5 EFFOR TS TO SELL OR LEASE VACANT BUILDING <br /> Described effort,by the owner or previous owner to sell,lease,or rent the budding during paned of vacancy: <br /> Schupan Properties has owned building and has not made great effort to use building or sell it in recent years. <br /> Show amount fo which the building wee offered for sale,lease,or rent during period of vacancy. <br /> $765,000-SEE ATTACHED PURCHASE AGREEMENT <br /> List any other benefits resulting from the occupancy of the eligible vacant building. <br /> Company wi' immediately help neighborhood with new hires spending money at local vendors and improving security at building with <br /> upgraded facade to eliminate appearance of deterioration along with theft prevention. There are building upgrades planned and would <br /> provide money to City and local utilities with building back in use for greater utility usage. Underground storage tanks will be removed to <br /> ensure no fu'ure contamination issues. <br /> SECTION I: TAXPAYER CERTIFICATION <br /> I hereby certify that the representations in this statement are true. <br /> Signature of a • • •ed re. es• • Tine LDate signed(month,day,year) <br /> CIO refilwh,ef.^' - 1/17(2019 <br /> Page 1 of 2 <br />