19-30 31 Nimtz Land Designating Real Property Tax Abatement

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Filed in Clerk's Office rt STATEMENT OF BENEFITS 20 PAY 20 REAL ESTATE IMPROVEMENTS APR 41 20191 - State Form 51767(Rs 110-14) f FORM SB-1 f Real Property Prescribed by the Department of Local Government Finance - YA/ILEiVIA1.1 FOWLERPRIVACY NOTICE This statement Is being completed for real properly thatquallfles under thelollorglrgph(;j11Q9-[Q tegfArlbbrt4)1 Any Information Concerning the cost or the property and specific salaries ❑Redevelopment or rehabilitation of real estate Improvements(IC 6-1.1-12.1-4) - — paid to individual employees by the ❑Residentially distressed area(IC 6-1.1-12.1-4.1) roperty owner is confidential per IC 6-1.1-12.1-5.1. INSTRUCTIONS: 1. This statement must be submitted to the body designating the Economic Revitalization Area prior to the public hearing if the designating body requires information from 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 statement of benefits form must be submitted to the designating body and the area designated an economic revitalization area before the initiation of the redevelopment or rehabilitation for which the person desires to claim a deduction. 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 made or not later than thirty(30)days after the assessment notice Is mailed to the property owner flit was mailed after April 10. A properly owner who felled to file a deduction application within the prescribed deadline may file or application between March 1 grid Pity 10 of a subsequent year 4. A property owner who files for the deduction must provide Me County Auditor arid designating body with a Form CF-1/Real Properly. The Form CF-f/Real 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. IC 6-1.1-12.1-5.1(b) 5. For a Form SB-1/Real Property that is approved after June 30,2013,the designating body is required to establish an abatement schedule for each 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 remains in effect. IC 6-1.1-12.1-17 SECTION 1 TAXPAYER INFORMATION Name of taxpayer 31 Nimtz Land LLC Address of taxpayer(number and street,dig state,and 2/P coda) 227 S. Main Street,Ste. 300, South Bend, IN 46601 Name of contact person Telephone number E-mall address ( ► ( ) 574-217-4498 pphair@holladayproperties SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT Mune of drsignohnp body Resolution number City of South Bend Location of property I County OLOF taxing district number 24605 Cleveland Road,South Bend, IN St.Joseph Cescupt on of real property fmpraven:enls,redevelopment,or rehabilitaien(use add Donal sheeN d necessary) Estimated start date(month.day,year) (July 1,2019 The proposed project is an approximately 225,000 square foot industrial facility to be locate Estimated completion date(month,day,year) March 31,2020 SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT Current number Salaries Number retained Salaries Number additional Salvias Unknown SECTION 4 ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT REAL ESTATE IMPROVEMENTS COST ASSESSED VALUE Current values 15208.400 I Plus estimated values of proposed project I$12,940.000 Less values of any property being replaced I$0 l Net estimated values upon com.letion of.rolecl 12 940.000 SECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER Estimated solid waste converted(pounds) Estimated hazardous waste converted(pounds) Other benefits SECTION 6 TAXPAYER CERTIFICATION I hereby certify that the representations In this statement are true. ti gra tauthor...e.d.re,presentative Date signed(=nib day.year) Pdn name of authorized representative Tills /L��f i I Page 1 of 2