12-10-12 Council Agenda & Packet

Home Browse Search

°'" STATEMENT OF BENEFITS =x� 20 PAY 20 i. i REAL ESTATE IMPROVEMENTS State Form 51767(R2/1-07) FORM SB-1/Real Property 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): El 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) INSTRUCT IONS: 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 ERANBD,Whichever is applicable,must be filed with the County Auditor 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/Real Property annually to the application to show compliance with the Statement of Benefits. (IC 6-1.1-12.1-5.1(b)and IC 6-1.1-12.1-5.30j 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 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. SECTION 1 }�yq earn s st �,TAXPpAYER INFORMATION Name of,- A 1 /-,I✓nr, JearnL4rS �U !rc Address of taxpayer(nu berend street,city,state,and ZIP code). ��I 1t • i. � _., nP Name of contact person Telephone number E-mail address 14rU o it,E tesi N t tNt•;T)-/ 4.61-4064 SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT Name of•=signating body Resolution number Om on n>> • Location of property County DLGF taxing district number '710 A)i !cS ,sou. &v71) it) 6r UctSeph Description of real property improvements,redevelopment,or rehabilitation(use additional sheets if necessary) Estimated start date(month,day,year) Estimated completion date(month,day,year) SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT Current number . Salaries s 38 r 1 tr Sall* g i ti tto Number i a�d Sa lariei s i 40010/� SECTION 4 ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT NOTE: Pursuant to IC 6-1.1-12.1-5.1(d)(2)the COST of the property REAL ESTATE IMPROVEMENTS is confidential. COST ASSE SED VALUE Current values ■F/ -- I�s�rirtr- Plus estimated values of proposed project eit _Less values of any property being replaced Net estimated values upon completion of project • SECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER Estimated solid waste converted(pounds) Estimated hazardous waste converted(pounds) Other benefits SECTION 6 TAXPAYER CERTIFICATION I hereby certify that the representations in this statement are true. Signature of authorized representative Title Date signed(month,day,year) Page 1 of 2