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Filed in <br /> Clerk's Qft e <br /> "' A STATEMENT OF BENEFITS <br /> e - _ - I 2019 PAY 20 <br /> 1.._. . 1 REAL ESTATE IMPROVEMENTS r <br /> ii' 1. `1 <br /> State Form 51767(R6/10-14) MAR 2 1��� • FORM SB-1/Real Property <br /> ' Prescribed by the Department of Local Government Finance <br /> ---_.; , PRIVACY NOTICE <br /> This statement is being completed for real property that qualifies under the followleg Indtana'Code(cheOkeif box): Any information concerning the cost <br /> p ;1tr )R , of the property and specific salaries <br /> �f]Redevelopment or rehabilitation of real estate improvements(IC 6-1.1 10Ct ERK,SOOT!t +-+ +� paid to individual employees by the <br /> ❑Residentially distressed area(IC 6-1.1-12.1-4.1) ---- <br /> property owner is confidential per <br /> IC 6-1r.1-12.1-5.1. <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 /> 2. The statement of benefits form must be submitted to the designating body and the area designated an economic revitalization area before the initiation of <br /> the redevelopment or rehabilitation for which the person desires to claim a deduction. <br /> 3. To obtain a deduction,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 <br /> made or not 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 <br /> foiled to file a deduction application within the prescribed deadline may file en application between March 1 and May 10 of a subsequent year. <br /> 4. A property owner who files for the deduction must provide the County Auditor and designating body with a Form CF-1/Real Property. The Form CF-1/Real <br /> Property should be attached to the Form 322/RE when the deduction is first claimed and then updated annually for each year the deduction is applicable. <br /> IC 6-1.1-12.15.1(b) <br /> 5. For a Form SB-1/Real Property that is approved after June 30, 2013, the designating body is required to establish en abatement schedule for each <br /> deduction allowed. For a Form SB-i/Real Property that is approved prior to July 1,2013, the abatement schedule approved by the designating body <br /> remains in effect. IC 6-1.1-12.1-17 <br /> SECTION 1 TAXPAYER INFORMATION <br /> Name of taxpayer <br /> Hopkins Properties of South Bend, LLC(and/or Truck Centers. Inc.) <br /> Address of taxpayer(number and street city,state,and ZIP code) <br /> 2280 Formosa Road,Troy, IL 62294 <br /> Name of contact person Telephone number E-mail address <br /> Justin Hopkins <br /> ( 618) 667-3454 justinhopkins@truckcentrsinc.com <br /> SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT <br /> Name of designating body Resolution number <br /> Common Council of City of South Bend <br /> Location of propertyCounty DLGF taxing district number <br /> 4373 Ameritech Drive, South Bend, Indiana 46628 I St. Joseph 71-003 <br /> Description of real property improvements,redevelopment,or rehabilitation(use additional sheets if necessary) Estimated start date(month,day,year) <br /> Proposed investment of$16,000,000 in site acquisition and construction of 100,000+/- April,2019 <br /> square foot building facility. Estimated let dale(month,day.year) <br /> January, 2021 <br /> SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT <br /> Current number Salaries Number retained Salaries Number additional Salaries <br /> 42 $2,150,000 42 $2,150,000 30 $1,500,000 <br /> SECTION 4 ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT <br /> REAL ESTATE IMPROVEMENTS <br /> COST I ASSESSED VALUE <br /> Current values $ 875,000 I $270,300 <br /> Plus estimated values of proposed project $16,000,000 Reg.17 <br /> Less values of any property being replaced N/A I N/A l <br /> Net estimated values upon completion of.ro ect $16,875,000 Reg.17 <br /> SECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER <br /> Estimated solid waste converted(pounds) Estimated hazardous waste converted(pounds) <br /> Other benefits <br /> SECTION 6 TAXPAYER CERTIFICATION <br /> I hereby ce//rt�ti at a r-presentations in this statement are true. <br /> Signatu pf�t bry /10 r Date signed(month,day,year) <br /> G �`i� March 27, 20 i9 <br /> Printed name r uthori representative I Title <br /> M. ohn Hopkins, IV Chairman/CEO Truck Centers, Inc. <br /> Page 1 of 2 <br />