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Filed in Clerk': Office <br /> MAR 2) 2019 STATEMENT OF BENEFITS <br /> 2' `t•'ct 20 PAY 20 <br /> REAL ESTATE IMPROVEMENTS <br /> Slate Form 61767(R8/10-14) I{i�hiEEi.i: . 011lL cR FORM SB-1/Real Property <br /> � ' Prescribed by the Department of Local Government Fina rLi BENDIN / NOTICE <br /> This statement is being completed for real property that qualifies under the C I 'aline code l eek 0/who'd:- My Intormauon concerning the cost <br /> 0 Redevelopment or rehabilitation of real estate Improvements(IC 6-1.1-12;1-4) a d t p rty and specific satnnos <br /> paid to inftridual ernproyeea by Inn <br /> ❑Residentially dlsiressed area(IC 6-1.1-12.1-4.1) property owner Is confidential per <br /> INSTRUCTIONS: <br /> 1. This statement must he submitted to the body designating the Economic Revitallzalion Area prior to the public hearing if the designating body requires <br /> irfonnellan from the applicant In making its decision about whether to designate en Economic RevilallzatIon 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 loan 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 Nod with the County Auditor before May 10 in the year in which(he addition to assessed valuation 13 <br /> made or not later than thirty(30)days after the assessment notice Is mailed to the properly owner N If was mailed alter April 10. A property owner who <br /> failed to file a deduction application within the prescribed deadline may filo an application between March 1 and May 10 of a subsequent year. <br /> '1. l prcp':ri;'o: ::•!:-- I,, . (i r!1• r.4;_':. i.':n;:::;!;rc.'a 1/; :::r!y tl::d: ,e:a,:.signaling body with a Form C -!/lieu)Fiopriy. TheGh'cal <br /> Property should he attached to the Form 322,1lE when the deduction is first claimed and then updated annually(or each year the deduction Is applicable. <br /> /C 6-1.1-12.1-5.1(b) <br /> 5. For a Form SB-!/Rest Property that is approved after June 30,2013.the designating body is required to establish an abatement schedule for each <br /> deduction allowed For a Form SB-1/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(axpayar <br /> CBK Land Development, LLC <br /> Address of taxpayer(number end street.city Mato,and ZiPcode) <br /> 5245 Dylan Drive South Bend, IN 46628 <br /> Name of contact person Telephone number E-mat address <br /> II 248-620-7784 landrew@chaseplastics.com <br /> SEC TION 2 LOCA ION AND'DESCRIPTION OF PROPOSED PROJECT <br /> Name of desIgnaIina body Rerclurlon number <br /> CBK Land Development,LLC <br /> Location or propertyCounty DLGF taxing district number <br /> 5245 Dylan Drive,South Bend,IN 466281 SL Joseph <br /> Doscrtpllon of real property improvements,redevelopment,or rehabditsbon(use addluonal stunts it neccsserd EnUmnied start date(month,day,year) <br /> May 2019 <br /> Project will consist of adding an approximate 80,000 sq.ft.to the existing 126,000 sq.ft.at Estimated completion date(month.day,year) <br /> January 2020 <br /> SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PRO°CSE11 PROJECT <br /> Current number Salnfes Number retained Salaries Ntmtberaddldenat Salutes <br /> 18 $847,000 18 $847,000 13 $520,000 <br /> SECTION 4 ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT <br /> REAL ESTATE IMPROVEMENTS <br /> COST I ASSESSED VALUE <br /> Current values $5,647,964 1$3,465,000 <br /> Plus estimated values of proposed project $3,500,000 <br /> Less values of any property being replaced $0 <br /> Nat estimated values u on Com.iei(onor.r•: $9,147,964 <br /> SECTION 5 WASTE CONVERTED AND OTNER.BENEFITS PROMISED EY THE TAXPAYER <br /> Estimated salld waste converted(pounds) Estimated hazardous waste converted(pounds) <br /> Other benefits <br /> SECTION 6 TAXPAYER CERTIFICATION <br /> I heroby certify that the repreiientatlons In this statement are true. (� <br /> Siperre of suthoete sante' Date slnvxl(month cloy.year) <br /> 3�221t <br /> Printed name of authorized represenlathia I Title <br /> erk-- rt (�+C>cc TuSrcaLS4Ar--42tcfi6S Yfr <br /> Page 1 of <br />