Bill No. 23-06 Tax Abatement Property 536 S. Main St SB, IN 46601

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STATEMENT OF BENEFITS FEt 20_ PAY 20 REAL ESTATE IMPROVEMENTS State Form 51767 (R6110-14) f 1 FORM SBA i Real Property Prescribed by the Department of Local Governmenttance DAWN M. JONES RK SOUTH BEND, IN PRIVACYNOTICE This statement is being completed for real property thatqualifies urld44'..- 9 -AI Z'X .1 Any information conceming the cost Redevelopment or rehabilitation of real estate improvements (IC 6-1.1-12.1-4) ai the papparty and specirx salaries paid totnddrldual employees by the Residentially distressed area (IC 6-1.1-12.1-4,1) pertyowneriscantidentiaIper IC INSTRUCTIONS: 6-1.11-12.1-5.1. 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 ofreal propertyfor which the person wishes to claim a deduction. 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 the redevelopment or rehabilitation for which the person desires to claim a deduction. 3. To obtain a deduction, a Form 3221RE must be riled with the County Auditor before May 10 in the year in which the addition to assessed valuation is made or not later than thirty (30) days after the assessment notice is mailed to the property owner if it was mailed atter April 10. A property owner who failed to rile a deduction application within the prescribed deadline may file an application between March 1 and May 10 of a subsequent year. 4. A property owner who files for the deduction must provide the County Auditor and designating body with a Form CF-1/Real Property. The Form CF-1/Real Property should be attached to the Form 3221RE when the deduction is first claimed and then updated annually for each year the deduction is applicable. IC 6-1.1-12.1-5.1(b) 5. For a Form SB-1/Real Property that is approved after June 30, 2013, the designating body is required to establish an abatement schedule for each deduction allowed. For a Form SB-1/Real Property that is approved prior to July 1, 2013, the abatement schedule approved by the designating body remains in effect. IC 6-1.1-12.1-17 SECTION•- • Name of taxpayer SoMa Capital LLC Address of taxpayer (number and street city, stale, and ZIP code) 015 W. Colfax Avenue, South Bend, IN 46601 Name of contact person Telephone number E-mail address 1 574-286-7119 b.emberton@outlook.com Resolution number Common Council of South Bend Location of property County DLGF taxing district number 536 S. Main St, South Bend, IN 46601 St. Joseph 02E Description of real property improvements, redevelopment, or rehabilitation (use addidona)sheets if necessary) Estimated start date (month, day, year) 04/01/2023 Redevelopment of a building into 12 new apartments with new electric, gas, water, HVAC a Estimated oompletion dale (month, day, year) 0313l/2024 Current number Current values Plus estimated values of proposed project Less values of any property being replaced Net estimated values upon comDlelion of of NIA Estimated solid waste converted (pounds) Other benefits Number retained iSalaries I Number additional iSalaries I hereby certify that the representations in this statement are true. Signature of authorized representative ' `•. i Pin ntea name or authonzed representative Mark W. Neal REAL ESTATE IMPROVEMENTS COST ASSESSED VALUE 237000 213900 2065000 0 2302000 Estimated hazardous waste converted (pounds) N/A Page 1 of 2 Tfle Co -Manager Date signed (month, day, year) 02/21/23