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~~f~"'~'~ STATEMENT OF BENEFITS <br />oar '- , ,~,. <br />W/~•-= '' REAL ESTATE IMPROVEMENTS <br />~~ State Form 51767 (R2 / 1-07) <br />.*''' <br />,e;; Prescribed by the Department of Local Government Finance <br />This statement is being completed for real properly that qualifies under the following Indiana Code (check one box): <br />^ Redevelopment or rehabilitation of real estate improvements (IC 6-1.1-12.1-4) <br />^ Eligible vacant building (IC 6-1.1-12.1-4.8) <br />20____ PAY 20` <br />FORM SB-1 /Real Property <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 body requires <br />information from the applicant in making ifs 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 />"Projects" planned or committed to after July 1, 1987, and areas designated after July 1, 1987, require a STATEMENT OF BENEFITS. (IC 6-1.1-12.1) <br />2. Approval of the designating body (City Council, Town Board, County Council, etc.) must be obtained prior to initiation of the redevelopment or rehabilitation, <br />BEFORE a deduction may be approved. <br />3. To obtain a deduction, application Form 322 ERA/RE or Form 322 ERAIVBD, Whichever is applicable, must be filed with the CountyAuditor by the later <br />of.• (1) May 10; or (2) thirty (30) days after the notice of addition to assessed valuation or new assessment is mailed to the property owner at the address <br />shown on the records of the township assessor. <br />4. Property owners whose Statement of Benefits was approved after June 30, 1991, must attach a Form CF-1/Real Property annually to the application tc <br />show compliance with the Statement of Benefits. jIC 6-1.1-12.1-5.1(b) and IC 6-1.1-12.1-5.3Q)] <br />5. The schedules established under /C 6-1.1-12.1-4(d) for rehabilitated property and under IC 6-1.1-12.1-4.8(1) for vacant buildings apply to any statement <br />of benefits approved on or after July 1, 2000. The schedules effective prior to July 1, 2000, shall continue to apply to a statement of benefits filed before <br />hd,r ~ ~nnn <br /> <br />Name of taxpayer <br />Cooreman Real Estate Grou ,Inc. <br />Address of taxpayer (number and street, city, state, and ZIP code) <br />4404 Technolo Drive South Bend, IN 46628 <br />Name of contact person Telephone number E-mail address <br />Steve Cooreman 574.277.0116 steve@cooreman.com <br /> <br />Name of designating body Resolution number <br />South Bend Common Council <br />Location of property County DLGF taxing district number <br />N of Brick Rd./E of Oran a Rd./W of US 31 B ass St. Jose h German Townshi <br />Description of real property improvements, redevelopment, or rehabilitation (use additional sheets tf necessary) Estimated start date (month, day, year) <br />Fifty One (51) homes in The Villas at Lake Blackthorn Section I - a single family home 05/01/2008 <br />subdivision which has a total of 101 lots located on 56+/- acres with a large lake, a gazebo Estimated completion date (month, day, year) <br />park, and a small pond. Avg. house price is $250,000. Avg lot price is $47,000. 05/31/2013 <br /> <br />Current number Salaries Number retained Salaries Number additional Salaries <br />N/A N/A N/A N/A N/A N/A <br />•.-. ~ ••. <br />NOTE: Pursuant to IC 6-1.1-12.1-5.1 (d) (2) the COST of the property REAL ESTATE IMPROVEMENTS <br />is confidential. COST ASSESSED VALUE <br />Current values <br />Plus estimated values of proposed project <br />Less values of any property being replaced N/A <br />Net estimated values upon.completion of project 1 .1 Milli n 1 .1 Milli n <br />.. - • ~ <br />Estimated solid waste converted (pounds) N/A Estimated hazardous waste converted (pounds) N/A <br />Other benefits °-- <br />~~. =~.. <br /> <br /> <br /> <br />..1 U <br />^n - <br />I <br />3 <br />~ <br />L <br />._...._... . --...,r.._._,-~._._... <br />. .~i~^ dv~~~L~C <br /> <br />• • <br />hereby cert' of the repres tations in this statement ar tr e. <br />Signature of au~ epreseniativ Title n // C <br />~ p Dat/e~ signfed (m^o~nth, day, year) <br /> ~ <br />Page 1 of 2 <br />