4815-19 Confirming Vacant Building Tax Abatement for 3602 Sample, LLC

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'n Clerk's Office -R�•,, APPLICATION FOR DEDUCTION FROM ASSESSED VAL• �N 20 23 PAY 2024 Alt, REAL PROPERTY VACANT BUILDING DEDUCTION iCi� �+ State Form 53179(R5/1-21) APR 2 7 202 FORM 322 I VBD *�' - Prescribed bythe Department of Local Government Finance L. � P INSTRUCTIONS: DAWN M,JONES CITY CLERK,SOUTH BEND,IN 1. This form is to be filed with the county auditor of the county in which the eligible vacant building is located. 2. To obtain a vacant building deduction,a Form 322/VBD must be filed with the county auditor before May 10 in the year in which the property owner or his tenant occupies the vacant building or not later than thirty(30)days after the assessment notice is mailed to the property owner if it was mailed after April 9. If the property owner misses these deadlines in the initial year of occupation, he can apply between January 1 and May 10 of a subsequent year. 3. The eligible vacant building must have been unoccupied for at least one(1)year and be zoned for commercial or industrial purposes. 4. A copy of the approved Form SB-1NBD,the resolution adopted by the designating body,and the Form CF-1NBD must be attached to this application. 5. A property owner who files this form must provide the county auditor and the designating body with a Form CF-1NBD to show compliance with the approved Form SB-1NBD. The Form CF-1NBD must also be updated and provided to the county auditor and the designating body for each assessment year in which the deduction is applicable. SECTION 1 PROPERTY INFORMATION Address of property(number and street,city,state.and ZIP code) 3602 W Sample Street, South Bend, IN 46619 USA County Township DLGF taxing district number Parcel number St. Joseph South Bend 026 (South Bend-Portage) 018-8112-4207 Name of owner Name of contact person 3602 Sample LLC Christopher Kapsaskis Mailing address of owner(number and street,city,state,and ZIP code) 3602 W Sample Street, South Bend, IN 46619 USA Telephone number Fax number E-mail address ( 732 ) 895-5895 ( ) chris@seaflousa.com SECTION 2 REQUEST FOR DEDUCTION AND DESCRIPTION OF BENEFIT TO TAXING JURISDICTION Describe the real property investment Before we started our project at 3602 W Sample Street,the future of the building looked grim. It had seemingly sat vacant for decades, and was in deep disrepair. At the time of our abatement we thought that with$160,000 investment we could revive the building to become at least minimally operational as we grew into it.As it stands now,our project is 95%complete, and we are just completing some small punch list items,which includes paint, planting shrubs, landscaping, and some other minor exterior work. Our investment in the building far outpaced our initial investment estimates,as we have grown faster than we anticipated.We are proud to say the building has gone from a vacant,tear-down prospect into a vibrant,fully functioning contributor to the South Bend Community. Total cost of the real property investment $315,000.00 Is this property within an Economic Revitalization Area(ERA)? Is this property within a Tax Increment Financing(TIF)district as defined in IC 6-1.1-21.2-3? g Yes ❑No (B Yes ❑ No ASSESSED VALUE OF LAND ASSESSED VALUE OF ASSESSED VALUE OF LAND AND *ASSESSED VALUE OF ELIGIBLE IMPROVEMENTS IMPROVEMENTS(TOTAL AN) VACANT BUILDJNG $ 71,900.00 $ 312,000.00 $ 383,000.00 $ 312,000.00 *NOTE: The amount of the deduction is the assessed value of the building or part of the building that is occupied by the property owner or a tenant of the property owner that qualifies as an eligible vacant building as defined in IC 6-1.1-12.1,multiplied by the percentage determined by the designating body under IC 6-1.1-12.1-17. I hereby certify tha e .bove named taxpayer is li.• - or property taxes at the above listed location on the indicated assessment date and that the representation •n t application are true an. •rrect. I further certify that the real property investment identified above is eligible for the vacant buil. . d ctio -s outlined in IC 6-1.1- '.1-4.8 and IC 6-1.1-12.1-16,as applicable. Si.•ature. own-•or representative(if rept.-•-ntative,attach power of attorney) Date signed(month,day,year) 4/21/23 Printed name of signatory Title Telephone number of preparer Christopher Kapsaskis Member ( 732 ) 895-5895 Page 1 of 2