Laserfiche WebLink
�~F STATEMENT OF BENEFITS <br /> READ ESTATE IMPROVEMENTS State Form 51767(R211-07) <br /> Prescribed by the Department of Local Government Finance Egg%;] <br /> €s statement is being completed for real property that qualifies under the following Indiana Code(check one box): <br /> Redevelopment or rehabilitation of real estate improvements(IC 6-1.1-12.1-4) <br /> ❑ Eligible vacant building(IC 6-1.1-12.1-4.8) <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. <br /> "Projects"planned or committed to alter July 1, 1987,and areas designated after July 1, 1987,require a STATEMENT OF BENEFITS. (IC 6-1,1-12.1) <br /> 2. Approval of the designating body(City Council, Town Board, County Council,etc.)must be obtained prior to Initiation of the redevelopment orrehabilitatlon, <br /> BEFORE deduction maybe approved. <br /> 3. To obtain a deduction, application Form 322 ERA/RE or Form 322 ERA/VBD, Whichever is applicable,must be filed with the County Auditor by the later <br /> ok(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 <br /> shown on the records of the township assessor. <br /> 4. Property owners whose Statement of Benefits was approved after June 30, 1991,must attach a Form CF-I/Real Property annually to the application to <br /> show compliance with the Statement of Benefits. jIC 6-1.1-12.1-5.1(b)and IC 6-1.1-12.1-5.3(6)1 <br /> 5. The schedules established under IC 6-1.1-12.1-4(d)for rehabilitated property and under/C 6-1.1-12.1-4.8(1)for vacant buildings apply to any statement <br /> of benefits approved on or after July 1,2000. The schedules effective prior to July 1,2000,shall continue to apply to a statement of benefits filed before <br /> July 1,2000. <br /> Name of taxpayer <br /> Address of taxpayer(number and sires city,state,and ZIP code) <br /> �i ';� 77" <br /> Name of contact pets"""oppp Tele non number <br /> �� , lz/-/I , 6a f E-mail h <br /> Name of de ati y Resolution number am <br /> P• �� CifIGF; <br /> Locati of prop County�� DLGF taxing district number <br /> vel J ®5 <br /> Description ofrbW property improvements,redevelopment,or rehabilitation(use additional sheets if necessary) Estimated start date(month,day,year) <br /> Estimated completion date(month, y,year) <br /> Jul � <br /> Current number Salaries Number retained Salaries Number additional alaries <br /> s • • ® • • • a •'o <br /> NOTE:Pursuant=tIC&-1.1-12.1-5.1 (d)(2)the COST of the property REAL ESTATE IMPROVEMENTS <br /> is confidential. COST <br /> ASSESSED VALUE <br /> Current values O <br /> Plus estimated values of proposed project �® <br /> Less values of any property being replaced <br /> Net estimated values upon completion of project �® <br /> Estimated solid waste converted(pounds) _ _ Estimated hazardousfw ste converted(pounds) V c <br /> x <br /> Other benefits <br /> 'S <br /> CITY c <br /> i t <br /> r <br /> I hereby erti that the in this statement are true. <br /> Signature of au orize r e ' e Title Date sig ed(month,day,year) <br /> Page 1 of 2 <br />