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Filed in Clerk's Office .^ <br />AUG I d 20G0 <br />STATEMENT OF BENEFITS I DAWN M. J E <br />H BEND, IN <br />REAL ESTATE IMPROVEMENTS CLERK, SOUT <br />SIM. Farm 61767 (AG110-14)CITY <br />Prescribed by the Depadment at Lane l Government Finance <br />This staement is being compkMd for real property Ihatrivallfies under the following Indiana Cade (check one boa): <br />Redevelopment ar rehabillation of real ntWQ IIIIPIW MMS (IC &1 1-12.10) <br />ResidenNally dlshessed area (IC &1.1-12.14.1) <br />INSTRUCTIONS: <br />1. This statement must besubmihedto Me bodydes/grating the Economo Rewlakaehim Area prior to Me public Ar <br />information even Me applicant In mak/ng as decision about whether to dasigMN an Economic Revitalization Am, <br />submdMd to Me desfynafngbody BEFORE Ura redevelopment wmhab itabon of realpmpeny for which the per <br />?. The Nefammt orbaneMa Pomo mutt be submWedla the designating Doily amt the area desigu aled an ecorromlic <br />20-- PAY 2e_ <br />FORM SB -f / Real Property <br />PRIVACY NOTICE <br />Anylnfx, tionmric•er,Ih•met <br />of ma and nucAlc+Yab. <br />p•N to IndhNval •nrploys. by as <br />fee", "I rn,nae,elm.. <br />a.; n -s t. . <br />Me mdovafopmenf or reh er ri 322 nor Must a penin delims M claim a deduction. <br />To de Or a l bee, the a Form 0) days must be Ned with the Co & is anuew to the May rt Mme yew s ma the eddAbn b assessed veluebon Is <br />made Or mil here anon application <br />saherthe Mepresent d denadaeumfib al a thepropertyeawas and May <br />10Ofa ld Aquent"ownerwho <br />/epso toty adeduc/anes farina deduction <br />Ma pmsaMeddee Co may Neon application between wait farad Mayf0alanepary Thyear. <br />4. A prep. shchlb attached <br />ached t the <br />ilea mt322IRE provide the Cowry AUWw aimed arprreden brise an Form Cr own year <br />Tim Form CFl�Rea <br />Property should tre mYerlratl to the Fprtn 322RE wean IM deduction is full clainretl and (hen updaed annually rw epc0 yew the deduction is epp/kab/o. <br />Ic aa. f -1z 1-s. f(eJ <br />5. For a Fomr SiNfyRea Propady, that Is appmved afar June 30, 2013, the des,pnefing body b required to establish an abalement schedule far each <br />dedeclign aebwed. Far a Farm 38-r/Real Properly that u appmved prior to July f, 2013, the abawmant schedule approved by the deslgnabrg body <br />remains in inti IC IN? .1-12,147 <br />Development Corporation of America <br />.area. a ,n.aarer;nwMerwdaasa Dry wee, ad 2rPtma <br />447 University Ave. Suite 210, Middleton, WI 53562 <br />_� <br />."Pamn <br />Irmm numMr <br />"am" <br />E-"'b�0mv <br />Jonathan Nesburg <br />( 360.71$6 <br />l.nesburg@commonwealthco.net <br />SECTION-. <br />N•ma c!J•4]naunp bogy <br />i—" 0 rause <br />City of South Bend, Indiana <br />+°^ P,oRrW <br />unry <br />LGF lannp abNcl number <br />505, 507, 511 and 513 S Michigan <br />St. Joseph <br />•.m.aonbroei pumemmp,.vamena.rea.vNapmenr,.r mlwonwtl.nrym•dden.0 <br />aaetr•Ineussuy) veil d.m(mome,, day. wed <br />8/16/2021 <br />eve construction of 60 affordable rental units targeting tenants at or below W 1. of AMI am•radcono. mdeelne-A day, real <br />9118/2022 <br />comm number sear.. Numd,r.rvW m„e <br />alarm. Number aedltlon.l Sierra. <br />SECT(�N ESTIMATED TOTALCOSTAND <br />2 57,694 <br />VALUE OF PROPOSED <br />REAL ESTATE IMPROVEMENTS <br />COST I ASSESSEOVALNE I <br />I current values <br />10 <br />L Rus estimated values orproposed project <br />I 0041445 i <br />Lass values of any property, being replaced <br />I I i <br />Net estimated values upon ea Non of J11,041,445 <br />SECTICq 5 WASTE CCNVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER <br />Estimated solld waste converted (pounds) <br />Estimated hazardous waste converted (pounds) <br />banenh <br />SECTION 6 TAXPAYER CERTIFICATION <br />I hereby ixrat the representations in this statement ere true. <br />Sicn>rum, ar <br />a-A—md(madap Nu.Iau <br />6/1712020 <br />_ <br />Pbni.e names r.amw.mlal'. <br />mVe <br />Kristi Morgan <br />Authorized Agent <br />Pagel oft <br />