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Filed in Clerk's Office <br /> Vii!- •-- 's rffice <br /> - --- I MAR 0 A 202;1 <br /> e,-4 STATEMENT OF BENEFITS FEB [ 1 `'f,)j DA`. p_i PAY.2 <br /> �4-- REAL ESTATE IMPROVEMENTS f CITY ._7. ' `:' IN <br /> State Form 51767(R6 l 10-14) 1. -FORM SB-1 I Real Property - <br /> � `' Prescribed by the Department of Local Government F ante DAWN M.JONES <br /> CI GLERK.SOUTH BEND, IN PRIVACY NOTICE <br /> This statement is being completed for real property that qualifies uncle -. , • •. • . . -. . • •- Any information concerning the cost <br /> ❑Redevelopment or rehabilitation of real estate improvements(IC 6-1,1-12.1-4) or the property and specific salaries the <br /> paid to individual employers by the <br /> o Residentially distressed area(IC 6-1.1-12.1.4.1) properlyownerIsconfidential per <br /> IC 6.1 1-12.1-5.1. <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 its 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 /> 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 <br /> the redevelopment or rehabilitation for which the person desires to claim a deduction. <br /> 3. To obtain a deduction,a Form 322/RE must be filed with the County Auditor before May 10 in the year in which the addition to assessed valuation is <br /> made or not later than thirty(30)days after the assessment notice is mailed fo the property owner if it was mailed after April 10. A property owner who <br /> failed to file a deduction application within the prescnbed deadline may file an application between March 1 and May 10 of a subsequent year. <br /> 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 <br /> Property should be attached to the Form 322/RE when the deduction is first claimed and then updated annually for each year the deduction is applicable. <br /> IC 6-1.1-12.1-5.1(b) <br /> 5. For a Form S8-1/Real Property that is approved after June 30, 2013,the designating body is required to establish an abatement schedule for each <br /> 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 <br /> remains in effect. IC 6-1.1-12.1-17 <br /> SECTION 1 TAXPAYER INFORMATION <br /> Name of taxpayer <br /> SoMa Capital LLC <br /> 16 Address of tamayer(number and street,city state,and ZIP code) <br /> 15 W. Colfax Avenue, South Bend, IN 46601 <br /> Name of contact person Telephone number E-mail address <br /> (3;i_d g/fier+c,) ( ) 574-286-7119 b.emberton@outlook.com <br /> SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT <br /> Name of designating body Resolution number <br /> Common Council of South Bend <br /> Location of property County DLGF taxing district number <br /> 536 S. Main St, South Bend, IN 46601 St. Joseph 026 <br /> Description of real property improvements,redevelopment,or rehabilitation(use addihonar sheets it necessary) Estimated start date(month,day,year) <br /> 4/01/2023 <br /> Redevelopment of a building into 12 new apartments with new electric,gas,water, HVAC a Estimated completion date(month,day,year) <br /> 03/31/2024 <br /> SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT <br /> Current number Salaries Num ter retained Salaries Number additional Salaries <br /> SECTION 4 ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT <br /> REAL ESTATE IMPROVEMENTS <br /> 1 COST I ASSESSED VALUE <br /> I Current values 1237000 1213900 <br /> I Plus estimated values of proposed project 12065000 <br /> I Less values of any property being replaced 10 1 <br /> Net estimated values upon completion of project 2302000 1 <br /> SECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER <br /> N/A <br /> Estimated solid waste converted(pounds) Estimated hazardous waste converted(pounds) N/A <br /> Other benefits <br /> SECTION 6 TAXPAYER CERTIFICATION <br /> I hereby certify that the representations in this statement are true. <br /> Signature of authorized representative \ ` Date signed(month,day,year) <br /> _--------I-___.------' <br /> 02/21/23 <br /> Pnnted name of authorized representative 1 Title <br /> Mark W. Neal Co-Manager <br /> Page 1 of 2 <br />