05-12-08 Council Meeting Agenda & Packet

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t~E F'\ ~`y~:.~; STATEMENT OF BENEFITS ~~ ~ REAL ESTATE IMPROVEMENTS :y %' State Form 51767 (R2 / 1-07) 'isia~ `' Prescribed by the Department of Local Government Finance This statement is being completed for real property that qualifies under the following Indiana Code (check one box): ^ Redevelopment or rehabilitation of real estate improvements (IC 6-1.1-12.1-4) ^ Eligible vacant building (IC 6-1.1-12.1-4.8) 20~ PAY 20_ FORM SB-1 /Real Property INSTRUCTIONS: 1. This statement must be submitted to the body designating the Economic Revitalization Area prior to the public hearing if the designating body requires information from the applicant in making its decision about whether to designate an Economic Revitalization Area. Otherwise this statement must be submitted to the designating body BEFORE the redevelopment or rehabilitation of real property for which the person wishes to claim a deduction. "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) 2, Approval of the designating body (City Council, Town Board, County Council, etc.) must be obtained prior to initiation of the redevelopment or rehabilitation, BEFORE a deduction maybe approved. 3. To obtain a deduction, application Form 322 ERA/RE or Form 322 ERA/VBD, Whichever is applicable, must be filed with the CountyAuditor by the later 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 shown on the records of the township assessor. 4. Property owners whose Statement of Benefits was approved after June 30, 1991, must attach a Form CF-1/Beat Property annually to the application to show compliance with the Statement of Benefits. SIC 6-1.1-12.1-5.1(b) and IC 6-1.1-12.1-5.3Q)] 5. The schedules established under IC 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 fo any statement 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 July 1, 2000. • . • Name of taxpayer Old Fort Buildin Su 1 of South-Bend Inc Address of taxpayer (number and street, city, state, and Z1PcodeJ 1401 S. Main Street South Bend, IN 46613 Name of contact person Telephone number E-mail address Robert F Ja er 574-289-5566 'a er oldfort.com Name of designating body Resolution number South Bend Common Council Location of property County DLGF taxing district number 1401 S. Main Street South Bend, IN St Joseph SB -Portage Description of real property improvements, redevelopment, or rehabilitation (use additional sheets if necessary) Estimated start date (month, day, year) New Storage Warehouse Bldg on current property 5/1/08 Estimated completion date (month, day, year) 8/1 /08 -.-. -. Current number Salaries Number retained Salaries _ Number additional Salaries 21 $950,000 21 $95U,u00 2 $62,000 -.-. .•-. NOTE: Pursuant to IC 6-1.1-12.1-5.1 (d) (2) the COST of the property REAL ESTATE IMPROVEMENTS is confidential. COST ASSESSED VALUE Current values - Plus estimated. values of proposed project 325 000.00 Less values of any property being replaced 0.00 Net estimated values upon completion of project 325 000.00 • • ~ ~ ~ - • ~ Norie ounds) Estimated solid waste converted (pounds) None Estimated hazardous wast e conv erted ( p ~~ ++ tt d e l Other6eneflts ~I{OLD SCI 4,FFF~",Ci~fJ ®i~l~i® APR 2 3 2008 JOHN VOOR~E CITY CLERK, S0. Eit:H~, IN. I hereby certify that the representations in this statement are true. Signature f ho ed r pr a tative - Title Date signed (month, day, year) ~i~_, ~-- President 04/18/2008 C) j/ ~ ~ Page 1 of 2