20-32 Designating Personal Property Tax Abatement for Tri-Pac, Inc.

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Fihd;i ', tOffice SEP L 1 2020 yam, ` STATEMENT OF BENEFITS a4 . _ PERSONAL PROPERTY Slate Form 51764 N4111-15) I DAM a r , Prescribed by the Department of Loral Government Firm1CITY CLERK. SOUTH 8 FORM SB -1 I PP 'i• r PRIVACY NOTICE I Any mlouration none ornin, u,, cos, of the properly not spedr2 snlar� Paid to individual employ.. by the property INSTRUC77ONS. ovrrmr k mnlWaMhl per IC &1 r-tx, o -s 1 1. This statement must be submitted to the body des'gnating the E040sno c Revitalization Ata prior to the public hearing If the designating body requires mformet On from the appi(caid In making its decision about whefber to deslgnale an Economic Revhaihnite n Aura. Ofhenvisa this statement must be Submitted to the designating body BEFORE as person installs the rtmv manufacturing equipment andror research and development equipfut and1w logfsfka/ OlsbrbUtyon equiPmerf and/or information technology equipment for which the Person wishes to claim a deduction. 2. The statement of benefits form must be submitted M the deslgnoung hotly and the area designated an economic revitalization area before the installation Ofqueidt abatable equipment for which the person desires In claim a deduction. 3. To obtain a deduction, a person must fife a cruto ed deduction schadille with the liaison's personal progeny mtum on a certified deduction schedule (Form 1g3 -ERA) with the township assessor, of the township where the proPeny is situaled or with the county assessoriffhem is run township assessor for the townsmp. The 103 -ERA must be filed between January i and May 15 of the assessment year in which rtew manufactu ut equipment an0br reseamn and development equipment andsw logistical distribution equipment and/or informatmn technology equipment is installed and fully Mndfenal, unless a flb'rg extension has been coffered. A person who Oblalns a filing extension must file the form between January 1 and the extended due date of mat year 4. Prupony owners whose Statement of Benefits was approved, must submit Form CF1/PP annually to show compliance with the Statement of Benefits. (IC 6-1.1-12.1-5.6) 5. Fora Form SB-11PPmat is approved aaer June 30. 2013, the designating body is required to establish an abatement schedule toveach deduch'on allowed. Fora Form SB-I/PP that is approved priorfo July 1. 2013. the abatement schedule approved by the designating body remains in effect. (IC 6-1.1-12.1-17) Tri-Pac, Inc. Vik Sh h P Addrem oltavpayer rnvm6er and sheet dry, s!a/e, and Zip code) ram a , residWllt 3333 N Kenmore St, South Bend, IN 46628 Teiephorle number (574 )855-2197 Name or desgneling body South Bend City Council Resolution number Is) Location of property 4303 Technology Drive, South Bend, IN 46628 County DLGFleang dietrdnumber ST JOSEPH 009 Description of manufacturing equipment andlor research aM development equipment and/or logistical distribution equipment Matter mfommilion technology equtpmem. ESTIMATED (Use additional sheets if necessary.) START DATE COMPLETION DATE Manufacturing Equipment 9/15/2020 12/31/2021 New Pharma/PPE equipment purchases. R & D Equipment LOgai Dist Equipment IT Equipment Cmrenl number Sonoma Number retained 0 sale, Numberaddibamt Saltines 0 0 0 20 $748.8 000 • a •ol• --• NOTE: Pursuant to IC 6-1.1-12.1-5.1 (d) (2) the MANUFACTURING R & D EQUIPMENT LOGIST DIST COST of the property is confidential,COST A D COST D COST ASSESSED ASSESSED 1�LS Curren) values VALUE VALUE VALUE VALUE Plus estimated values of reposed pro act 20000 0 600000 Less values of any grope bein r aced Net estimated values Won core Ilm of pro ect 20 •10— 11 a . Estimated solid waste converted (pounds) •c Estimated hazardous waste converted (pounds) Other benefrls: SECTION 15 TAXPAYER CERTIFICATION I hereby worry that the repreaerltdllOn3 in this slate 11 are true, Signature of a ed ni resent ! r✓`��(' Date signed (month, dap year) August26,2020 Printed name Or authorized representative TI•e Vikram Shah President Page I of 2