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PRIVACY NOTIcE ZG 2J PAV�p 2 <br /> "4. COMPLIANCE WITH STATEMENT OF BENEFITS The cost and any specific ndivigr� din Clerk's; VACANT BUILDING DEDUCTION salary Information Is contitentla ht c„o„ X Mir, <br /> balance of the filing is P U Ilio {-�"" "' <br /> State Form 55183(R3/12-22) <br /> recoil) <br /> �,r .!"if Prescribed by the Department of Local Government Finance per IC 6-1.1-12.1-5.3(I!)and(I). <br /> APR 2'7 2023_ <br /> INSTRUCTIONS: 1. Properly owners must file this form with the county auditor and the designating body for their n view reg prcling the compliance o the qualifyin 3 <br /> property with the Statement of Benefits(Form SB-1/VBD). <br /> 2. This form must accompany the initial deduction application(Form 322-VBD)that is filed with the county at0AWN M.JONES <br /> 3. This form must also be updated each year in which the deduction is applicable.It is filed with t ecOitU7hrilEt)EbiciNe.ore <br /> May 15th or by the due date of the real property owner's personal property return that is filed in the township were the property is located. 1,C <br /> 6-1.1-12.1-5.3(j)) <br /> • <br /> • <br /> Name of Taxpayer County <br /> 3602 Sample LLC / SEAFLO Marine & RV North America St. Joseph County <br /> Address of Taxpayer(number and street.city,state,and ZIP code) DLGF Taxing District Number <br /> 3602 W Sample Street, South Bend, Indiana 46619 026 (South Bend-Portage) <br /> Name of Contact Person Telephone Number Email Address <br /> Christopher Kapsaskis ( 732 )895-5895 chris@seaflousa.com <br /> SECTION 2 LOCATION AND DESCRIPTION OF PROPERTY <br /> Name of Desianatino Body I Resolution Number I Estimated Occupancy Date(month day vearl <br /> City of South Bend Common Council 14815-19 11/01/2019 <br /> Location of Property Actual Occupancy Date(month,day,year) <br /> 3602 W Sample Street, South Bend, Indiana 46619 11/01/2019 <br /> Description of eligible vacant building that the property owner or tenant will occupy Estimated Date Placed-In-Use(month,day,year) <br /> 11/01/2019 <br /> Building was vacant and deteriorating. We restored it back to use. Actual Date Placed-In-Use(month,day,year) <br /> 11/01/2019 <br /> EMPLOYEES AND SALARIES AS ESTIMATED ON SB-1 ACTUAL <br /> Current Number of Employees 6 33 <br /> Salaries $149,760 Total $1,029,600 Total <br /> Number of Employees Retained 6 1 <br /> Salaries $149,760 Total $1,029,600 Total <br /> Number of Additional Employees 12 32 <br /> Salaries $299 5i2n Total $1 n29 6n0 Total <br /> COST AND VALUES REAL ESTATE IMPROVEMENTS <br /> AS ESTIMATED ON SB-1 COST ASSESSED VALUE <br /> Values Before Project $ $ 472,800 <br /> Plus:Values of Proposed Project $ $ 160,000 <br /> Less:Values of Any Property Being Replaced $ $ <br /> Net Values Upon Completion of Project $ $ 632,800 <br /> I ACTUAL I COST I ASSESSED VALUE <br /> Values Before Project $ $ 472,800 <br /> Plus:Values of Proposed Project $ 175,000 $ <br /> Less:Values of Any Property Being Replaced $ $ <br /> Net Values Upon Completion of Project $ 1755,000 $ 472,800 <br /> SECTION 5 UPDATES TO THE ANSWERS PROVIDED IN SECTION 5 OF THE FORM SB-1/VBD,IF ANY <br /> (Attach additional sheet(s)if necessary) <br /> I I <br /> SECTION 6 TAXPAYER CERTIFICATION <br /> I eby c- Ify t . the reprettations in this statement are true. <br /> Si ature of •utho' ed Repr n tl4e I Title I Date Signed(month,day,year) <br /> I Chris Ilnr.c nnkin (Pnrtncr) I A/1 A/23 <br /> / I VI 11 IV IMAVV1.4.60 \I wI ti I T/ ITIL-V <br /> Page 1 of 2 <br />