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AUG *19 1111 <br />Mi; • STATEMENT OF BENEFITS �� <br />9 REAL ESTATE IMPROVEMENTS DAWN ' JONEI <br />State Form 51767 (R6110-14) CITY CLERK, SOUTH 8 <br />'�,.�% Prescribed by the Department of Local Government Finan <br />This statement is being completed for real property that qualifies under the following Indiana Code (check one box): <br />2 Redevelopment or rehabilitation of real estate improvements (IC 6-1.1-12.1-4) <br />IZ1 Residentially distressed area (IC 6-1.1-12.1-4.1) <br />20_ PAY 20_ 1 <br />I FORM SB -1/ Real Property <br />IN I <br />cost <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 bodyrequlres <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 3221RE 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 han thirty (30) days after the assessment notice is mailed to the property owner if if was mailed after April 10. Aproperty 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-IlReal Property. The Form CF-i/Real <br />Property should be attached to the Form 3221RE 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 S&1/Real Property 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 I TAXPAYER <br />INFORMATION <br />of taxpayer <br />South Bend Mutual Homes II, LP <br />Address of taxpayer (number and street, city, stale. and ZIP code) <br />724 W. Washington St., South Bend, IN 46601 <br />Name of contact person <br />I <br />E-mail address <br />Anne Mannix <br />( 574 ) 2884369 <br />amannix.nda@gmail.com <br />SECTION 2 LOCATION . DESCRIPTION <br />OF PROPOSED PROJECT <br />Name of designating body <br />Resolution nwnber <br />City of South Bend <br />DLGF fixing distinct number <br />Location of property <br />County <br />See attached list <br />St. Joseph <br />026-0011 <br />Description of real property improvements. redevelopment, or rehabilitation (use additional sheets ilnecessary) <br />Estimated start date (month, day. year) <br />Ten newly concocted homes. <br />April 1,2021 <br />Estimated completion data (month, day, year) <br />April 1, 2022 <br />Current number Salaries -Number retained <br />Salaries ''.Number additional Salinas <br />1.00 $40,000.00 1.00 <br />$40,000.00 0.50 $20,000.00 <br />SECTION 4 ESTIMATED TOTAL COST AND <br />VALUE OF PROPOSED PROJECT <br />REAL ESTATE IMPROVEMENTS <br />COSTASSESSED VALUE <br />Current values <br />30,000.00 15,000.00 <br />Plus estimated values of proposed project <br />2.166,000.00 41666700 <br />Less values of any property being replaced <br />o.00 0.00 <br />Net estimated values upon completion of project <br />2,196,000.00 431,667.00 <br />SECTION 5 WASTE CONVERTED AND OTHER <br />BENEFITS PROMISED BY THE TAXPAYER <br />Estimated solid waste converted (pounds) 0.00 <br />Estimated hazardous waste converted (pounds) 0.00 <br />Other benefits <br />1) Revitalization of the Southeast neighborhood. 2) Provision of ten units of affordable housing. 3) About 27 short term construction jobs <br />for a one year period. <br />SECTION 6 TAXPAYER <br />CERTIFICATIONI <br />I hereby certify that the representations in this statement are true. <br />Signature of authorized representa0vea <br />- <br />Dale signed (month, de y, year) <br />Printed name of authorized representative <br />Title <br />n rile <br />Page 1 of 2 '�•UGiOfQ hq..�' {�jd CCq-;jq <br />