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Filed in Clerk's Office <br />---------- <br />STATEMENT OF BENEFITS AI is a A 7.�J10 I 20 PAY 20 <br />fy REAL ESTATE IMPROVEMENTS <br />i( Stale Famr 51767 (R6110 -tar I -� FORM SS -1 / Real Property <br />% Prescribed by the Department of Local Governman Finance <br />'ItJ PRIVACY NOTICE <br />This statement is being completed for real property that qualifies u er the Weaving Indiana Codeictene"ne ' Any nvormation concerning the cos <br />P Redevelopment or rehabilitation of real estate improvements (IC 6-L 1-12.1-4) or me property am specific evidence <br />:Z Residentially distressed area (IC 6-1.1-12.1-4.1) paid to <br />ow er�s coardaneiaby <br />pea <br />IC 6-tt-12 eri <br />INSTRUCTIONS. <br />51 <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 Farm 3221RE must be Bled 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 nofice is mailed to the property owner if it was mailed after April 10. A properly owner who <br />failed to file a deduction application within the prescrtbed deadline may file an application between Match 1 and May 10 of a subsequent year <br />4. A property owner who files for the deduction must provide the County Auditor and tlesignating body with a Fonn CFI/Real Properly The Form CF -Iii <br />Property should be attached to the Form 322/RE when the deduction is first claimed and then updated annually fa each year the deduction is applicable. <br />IC 6-1 1-12, 1.5.I(b) <br />5. For a Form SS-11Real 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 -//Real Properly that is approved prior to July 1, 2013. the abatement schedule approved by the designating body <br />remains in effect IC 6-f 142 147 <br />South Bend Mutual Homes II, LP <br />:Address of taxpayer (number and street. cif,, slat, and ZIP Code) <br />724 W. Washington St., South Bend, IN 46601 <br />Name of contact person <br />. r a number <br />', E-mail address <br />Anne Mannix <br />574 l 2884369 <br />amannix.nda@gmail.com <br />SECTION 2 LOCATION AND DESCRIPTION <br />OF PROPOSED PROJECT <br />Name of designating body <br />1 ResrSution number <br />City of South Bend <br />Location of property <br />County <br />DLGF taxing district number <br />See attached list <br />St. Joseph <br />p <br />026-0011 <br />iLs rc!. <br />personalism of mat proper, bnp onemenr>: r ..v'Ld rnaWf�M Ip rlarwl <br />ehaaKanecessary) <br />IE4imated start axle imonfh day year <br />Ten newly constructed homes. <br />''� April 1,2021 <br />=_stimated completion data (month, day, year( <br />April 1, 2022 <br />SECTIONOF EMPLOYEESPROPOSED <br />PROJECT <br />elned <br />Current numberSalaries- Numbrreta <br />Salaries <br />'Number adtlM1ipnal ISeledes <br />1.00 $40,000.00 1.00 <br />$40,000.00 <br />0.50 $20,000.00 <br />SECTION 4 E STIMATFD TOTAL CO ST <br />AN 1) VA LU E OF PROPOSED <br />PROJECT <br />REAL ESTATE IMPROVEMENTS <br />COST <br />ASSESSEDVALUE <br />Current values <br />30.00000: ts,oeb m <br />Pius estimated values of proposed project <br />2,'.66,000 00 416.66T 00 <br />Less values of any property being replaced <br />o m 0,0011 <br />Net estimated values upon C1lfrlolagbn of ormecl <br />c ..�a6 OW 00 491,867.00 <br />Estimated wild waste converted (pounds) 0.00 ___ Estimated hazardous ossle convened (pounds) 0.00 <br />Other benefi4s <br />1) Revitalization of the Southeast neighborhood. 2) Provision of ten units of affordable housing 3) About 2T short lerm construction jobs <br />for a one year period. <br />I hereby certify that the representations in this statement are true. <br />name of authorized repriecnlarive T:tc <br />Page 1 of 2 <br />