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I Filed in Clerk's Office <br /> +="! STATEMENT OF BENEFITS MAR 2 5 2019 ; <br /> �� FORM 58-1 )PP <br /> Qjli,)i. PERSONAL PROPERTY <br /> Stela Form 61764(R4/11-15) L' •Prescribed by the Department of Local Government Ft nee h - " ' ' �— PRIVACY NOTICE <br /> ,,,— <br /> (-Try CLERK,SOUTH(?END,I.1 iAny Information concerning the coat <br /> of the property end spathe Wanes paid <br /> to Individual employees by the property <br /> owner Is confidential per IC 6-1.1-12.1-6.1. <br /> INSTRUCTIONS <br /> y, This statement must be submitted to the body designating the Economic Revitalization Area prior to the public hearing U the designaing body requires <br /> Information from the applicant in making Its decision about whether to designate an Economic Revitalization Area. Othorw'se this statement must be <br /> submitted to(he designating body BEFORE a person installs the new manufacturing equipment and/or research and development equipment,and/or <br /> logistical distribution equipment and/or information technology equipment 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 installation <br /> of qualifying abatable equipment for which lire person desires to claim a deduction. <br /> 3. To obtain a deduction,a person must Pie a certified deduction schedule with the person's personal property return on a certified deduction schedule <br /> (Form 103-ERA)with the township assessor of the township where the property Is situated or with the county assessor if there is no township assessor <br /> for the township. The 103-ERA must bo filed between January 1 and May 15 of the assessment year In which new manufacturing equipment <br /> and/or research and development equipment and/or logistical distribution equipment and/or Information technology equipment is Installed end fully <br /> functional,unless a filing extension has been obtained. A person who obtains a filing extension must file the form between January 1 end the extended <br /> due date of that year. <br /> 4. Properly owners whose Statement of Benefits was approved,must submit Form CF-1/PP annually to show compliance with the Statement of Benefits, <br /> (IC 6.1.1-12.1-5.6) <br /> 5. Fore Form SB-1/PP that Is approved alter June 30,2013,the designating body Is required to establish an abatement schedule for each deduction allowed. <br /> Fora Form SB-1/PP 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) <br /> SECTION 1 TAXPAYER INFORMATION <br /> Name of taxpayer Name of contact person <br /> Chase Plastic Services, Inc. Lacie Andrew <br /> Address of taxpayer(number end street diy,state and ZIP colo) Telephone number <br /> 5245 Dylan Drive South Bend,IN 46628 248-620-7784 <br /> SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT <br /> Name of deslanettng body Resolution number(a) <br /> Chase Plastic Services, Inc. <br /> Locates of property 1 County DLGF taxing district number <br /> 5245 Dylan Drive South Bend, IN 46628 St. Joseph County <br /> Description of manufacturing equipment andior research and development equipment ESTIMATED <br /> and/of logistical distribution equipment and/or Information technology equipment. START DATE COMPLETION DATE <br /> (Use additional sheets if necessary.) <br /> Manufacturing Equipment <br /> R&D Equipment <br /> Racking, Forklifts, Computer technology and material handling equip <br /> Loglat Diet Equipment May 2019 March 2020 <br /> IT Equipment May 2019 March 202 <br /> SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT <br /> Current number Salarius Number reia'ned Satares I Numter eddIUonal Salaries <br /> 18 $847,000 18 $847,000 3 $520,000 <br /> SECTION 4 ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT <br /> NOTE:Pursuant to IC 6-1:1-12.1-6.1(d)(2)the MANUFACTURINGR&D EQUIPMENT LOGIST DIST IT EQUIPMENT <br /> EQUIPMENT EQUIPMENT <br /> COST of the property Is confidential. COST ASSESSED <br /> COST ASSESSED COST ASSESSED COST ASSESSED <br /> Vl1LUE VALUE VALUE VALUE <br /> Current values $830,15! $59,485 <br /> Plus estimated values of proposed project $608,U00 •y5,000 <br /> Less values of any property being replaced <br /> Net estimated Values upon completion of protect 1,430.1' p I D4,9dD <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 certIfy that the representations In this statement are true. <br /> Slgnetyrertrauthdnzed r ntatve----_ Date signed(month,day year) <br /> lam. P P �� 3 2-1-MPdnlgd_na o of au dzed ra rceen ave Tlu r <br /> C =,�Esz�- 1,-orF .�rr..�t< i,cs )-(1 <br /> c. <br /> Pagel oft <br />