19-10 SWGS Properties, LLC Confirming Real Property Tax Abatement

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0.s.,-iii '' fu; -TATEMENT OF BENEFITS 2019 PAY 20 20 . . t -EAL ESTATE IMPROVEMENTS (�- 1��J JAN i 8 .2.09 •tate Form 51767(Re r 10-14)1111140, FORM SB-1 I Real Property prescribed by the Department of Local Government Finan AH '-) /LER PRIVACY NOTICE This statement • being completed for real property that qualifies under the I�I t (check Any mformabon concerning the cost Redevelop rat or rehabilitation of real estate improvements(IC 6-1.1-1 K - MW,'IN of the property and specific salaries Q( paid to Indlt dual employees by the ❑Residential) distressed area(IC 6-1.1-12.1-4.1) property owner is confidential per INSTRUCTION.. IC6-r 1-t2.t-5.1. 1. This statern.rat must be submitted to the body designating the Economic Revitalization Area prior to the public hearing if the designating body requires information om the applicant in making its decision about whether to designate an Economic Revitalization Area Otherwise.this statement must be submitted to the designating body BEFORE the redevelopment or rehabilitation of real property for which the person wishes to claim a deduction. 2. The statem= t of benefits form must be submitted to the designating body and the area designated an economic revitalization area before ire initiation of the fadevel..ment or rehabilitation for which the person desires to claim a deduction. 3. To obtain a•eduction.a Form 322/RE must be filed with the County Auditor before May 10 in the year in which the addition to assessed valuation is made or nog later than thirty(30)days after the assessment notice is mailed to the property owner if It was mailed after April 10. A property owner who failed to file deduction application within the prescribed deadline may file an application between March 1 and May 10 of a subsequent year. 4. A property o net who files for the deduction must provide the County Auditor and designating body with a Form CF-1/Real Property. The Form CF-1/Rea! Property sh. Id be attached to the Form 322/RE when the deduction is first claimed and then updated annually for each year the deduction is applicable. IC 6-1.1-12. -5.1(b) 5. For a Form B-1/Real Properly that is approved after June 30, 2013, the designating body Is required to establish an abatement schedule for each deduction a..wed. For a Form SB-1/Real Property that is approved prior to July 1, 2013, the abatement schedule approved by the designating body remains in -of. IC 6-1.1-12.1-17 SECTION 1 TAXPAYER INFORMATION Name of texpay: 14-'414.5 "0-vP c •Grace Sty-I LLC (Pam Andre is Woman °wrie �- Address of tax•: at(number and sheet city,state,and ZIP code) 21601 Du ham Way, Bristol, IN 46507 Name of contact -rson Telephone number E-mail address David An,re, Owner ( 574 ) 536-2445 davtdandre@gracesteelservice.com SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT Name of design ng body Resolution number City Coun it of South Bend Location of prop. ty County DLGF taxing district number 2920 We Sample Street, South Bend, IN 46619 ST JOSEPH 026 Description of re. property mprovornents.redevelopment.or rehabilitation(use additional sheets if necessary) Estimated start date(month,day,year) Building pur .se price of$765,000 with planned$500,000 building upgrades to operate manufacturing/distribution 2/15/2019 facility includi • modem roof,flooring,and loading docks.Legal description Is 400'On Sample Beg 330'E&35'S Estimated completion date(month,day,year) NW Cor NW'•c 15-37-2e. Parcel number Is 018-8075-282401/018-8075-282404. 12/31/2020 SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT Current number Salaries Number retained Salaries Number additional Salaries 0.00 $0.00 0.00 $0.00 10.00 $416,000.00 SECTION 4 ESTIMATED TOTAL COSI-AND VALUE OF PROPOSED PROJECT REAL ESTATE IMPROVEMENTS COST ASSESSED VALUE Current valu=s Plus estimat d values of proposed project 500,000.00 500,000.00 Less values t any property being replaced Net estimat:• values upon completion of proect I 500,000.00 500,000,00 SECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER Estimated ••lid waste converted(pounds) Estimated hazardous waste converted(pounds) Other benefits . SECTION 6 TAXPAYER CERTIFICATION I hereby c: ify that the repr-sen ons i is statement are true. Signature of au •nzed repres,rhtet' - Date signed(month,day,year) I G Z.---- l January 4, 2019 Pnnted name of uthon -.representative Title David Ans e Owner Page 1 of 2