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Filed in Clerks Off3F.,. . <br /> ~%:.'" STATEMENT OF BENEFITS i"-' I zol 9 PAY 20 <br /> set-.. 1 REAL ESTATE IMPROVEMENTS r <br /> _ r State Forth 51767(R6110-14) MAR LO�� FORM SB-1/Real Property <br /> ,,. Prescribed by the Department of Local Government Fina ce I 1 t <br /> I PRIVACY NOTICE <br /> This statement is being completed for real property that qualifies under fotiowitiglndiatia't% ttEhElai hox): + Any information concerning the cost <br /> �f]Redevelopment or rehabilitation of real estate improvements(IC 6-1.1 1 {l to �t1� )�:! <br /> of id t ping and specific salaries <br /> ties <br /> �h41'CLERK,SOUT, ._, 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 6-1.1-12.1-5.1. <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 /> failed to file a deduction application within the prescribed deadline may file an 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 6-1.1-12.1-5.1(b) <br /> 5. For a Form SB-1/Real Property that is approved after June 30, 2013, the designating body is required to establish an abatement schedule for each <br /> deduction allowed. For a Form SB-1/Real Properly 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 ( 618) 667-3454a @ <br /> ustinho kins truckcentrsinc corn <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 property County DLGF taxing district number <br /> 4373 Ameritech Drive, South Bend, Indiana 46628 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 oompletion date(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 31,500.000 <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 I $16,000,000 I Reg.17 <br /> Less values of any property being replaced I N/A I N/A <br /> Net estimated values upon completion of project S16,875,000 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 certi at e r-presentations in this statement are true. <br /> Signat pt6i r-or-'- '•th p Date signed(month,day,year) <br /> � U. / 'V <br /> March 27, 2019 <br /> Printed name f uthori representative Title <br /> M. ohn Hopkins, IV Chairman/CEO Truck Centers, Inc. <br /> Page 1 of 2 <br />