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,i 47' STATEMENT' OF BENEFITS 20 PAY 20 <br /> it '1 REAL ESTATE IMPROVEMENTS <br /> = <br /> State Form 51787(RB 115-141 FORM SB-1 f Real Property <br /> . _ Prescribed by the Department of Local Government Finance j <br /> PRIVACY NOTICE <br /> This statement Is oeing completed tel real properly that qualifies under the following Indiana Code(check one box): Any u,ronnnhen a,fcernlnp theuost <br /> Redevelopment or rehabilitation of real estate Improvements(IC 6-1.1-12,1-4) or the INDp,rtr rind specific solarise <br /> paid ro melees unl employees by the <br /> Residentially distressed area(IC 6-1.1-12.1-4.1) property owner le ronhdenhnt per <br /> Ice-1 t-12.1.61 <br /> INSTRUCTIONS: <br /> - <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 en Economic Revitalization Area. Otherwise,this statement must be <br /> submitted to the designating body BEFORE the redevelopment or rehabilitation of reel 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 en 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 then(ha-1y(30)days after the assessment notice is mailed to the property owner if it was mailed after April 10 A property owner who <br /> failed to Ole e deduction application within the prescribed 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 Audttcr and designating body with a Form CF-1/Reel 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 /> /C 6.1.1-12.1-5.1(b) <br /> 5. For a Form SB-1/Reel Property that is approved after June 30. 2013, the designating body Is required to establish en 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 /> The Tower at Washington Square LLC <br /> Address of taxpayer(number and stmt,city steel,end ZiP code) <br /> 5-44 47th Avenue,4th Floor, Long Island City, NY 11101 <br /> None of contact parson Telephone number E-mail address <br /> ( ) 718-786-5555 mkazanas1969@gmail.com <br /> SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT <br /> Jerre of dnsegnatnp body <br /> Rnxo(uhan number <br /> Common Council of South Bend <br /> -oration xi property County DLOF taxing district number <br /> 213 West Washington Street,South Bend, IN 46601 St.Joseph 026 <br /> Descrlptwn of reel property Improvements,rndeonloprnnel,onxheba:Inline(use adr-earrul shouts d narossory) Eshmeled start date(month,day,year) <br /> 4/15/2023 <br /> Develop—90 apt units, addrl meeting/event spaces and 7th floorbar/lounge/event venue Estimated completion date(month,day.year) <br /> 04/15/2024 <br /> SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT <br /> Current number Snlsr.. Number,strained Salaries Number additional Salanes <br /> 0 9 avg-.$36,000 <br /> SECTION 4 ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT <br /> REAL ESTATE IMPROVEMENTS <br /> II <br /> COST I ASSESSED VALUEI Current values 11 100000 11494200 <br /> L Plus estimated values of proposed project 114700000 <br /> Less values of any property being replaced 10 { <br /> Net estimated values upon cam.letlon of.ro eci 1580000(1 <br /> SEC-110N 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY TI•IF TAXPAYER <br /> Estimated solid waste converted(pounds) Estimated hazardous waste converted(pounds) <br /> Other benefits <br /> SECTION 6 TAXPAYER CERTIFICATION <br /> I hereby certify that the representations in this statement are true. <br /> lfgreluro of supronzud rnpo-ronlnlive <br /> / / i / Date signed(merit,day,year) <br /> .r- r/ , f;, / : ,�1 y 03/20/2023 <br /> Prfetail name d author'Leif repree?ntauvo Tien -- ---- --— - --- - --- -- <br /> Liberty Angeliades Manager <br /> Page 1 of 2 <br />