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Filed in Clerk's Office <br /> STATEMENT OF BENEFITS MAR 3C 2023 2023 PAY 2024 <br /> e' 1 REAL ESTATE IMPROVEMENTS L___ <br /> State Form 51767(R71 1-21) DAWN M.JONES FORM SB-1/Real Property <br /> Prescribed by the Department of Local Government Fina 1cciTY CLERK,SOUTH BEND,IN <br /> PRIVACY NOTICE <br /> This statement is being completed for real property that qualifies under the following Indiana Code(check one box): Any information concerning the cost <br /> O Redevelopment or rehabilitation of real estate Improvements(IC 6-1.1-12.1-4) <br /> of the proper and spools salaries <br /> 11 paid to Individual employees by the <br /> Residentially distressed area(IC 6.1.1-12.1-4.1) rope ty owner Is conSdentlal per <br /> INSTRUCTIONS: <br /> 1. This statement must be submitted to the body designating the Economic Revitalization Area poor 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(he 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 to the property owner if it was mailed after April 10 A property owner who <br /> failed to file a deduction application within the prescribed deadline may file an application between January 1 and May 1 0 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/Roal 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-t2.1-5.1(b) <br /> 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 <br /> deduction allowed. For a Form SB-1/Raaf 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 /> Cross Community Inc. <br /> Address of taxpayer <br /> Number and Street 707 Sherman Ave cIm South Bend SUte: IN ZIP: 46616 <br /> Noma of contact person Telephone number -E-mail address <br /> Ptnt Ntune Tina h,st N,mr. Patton (574)876-2106 tmpatton2@comcest.net <br /> SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT <br /> Name of designating body Resolution number <br /> Common Council of the City of South Bend <br /> Location of property County DLGF taxing dIstnct number <br /> NumberanJ ,.t 724 Harrison Avenue City,South Bend sett IN IIP:46616 St. Joseph 026(South Bend-Portage) <br /> Description of real property Improvernonts,redevelopment,or rehabiiiaton(use additional sheets If necessary) Estimated start dole(month,day,year) <br /> We will building 2 new homes that in general will be between 1390-1620 sgft. The homes will 5/1/2023 <br /> be sold to first time homeowners who have participated in financial/credit building workshops. Estimated compleacedate{ironer,day,year) <br /> 12/1/2023 <br /> SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT <br /> Current Number Salaries Number Retained Sale/les Number Additional Salaries <br /> SECTION 4 ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT <br /> REAL ESTATE IMPROVEMENTS _ <br /> COST ASSESSED VALUE <br /> Current values _ $2,600 <br /> Plus estimated values of proposed project _ S 220,000 $242,408 <br /> Less values of arty property being replaced <br /> Net estimated values upon completion of project $220,000 $245,000 <br /> SECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER <br /> Estimated solid waste converted(pounds) Estimated hazardous waste converted(pounds) <br /> Other benefits <br /> The homes will be sold to first time homeowners who have participated in financial/credit <br /> building workshops. <br /> SECTION 6 TAXPAYER CERTIFICATION <br /> I hereby certify that the representations in this statement are true. <br /> Signature of authorized representative Date elated(month.day,year) <br /> 3/30/2023 <br /> Printed name of authorized representativeTitle <br /> Tina Patton President <br /> Page 1 of 2 <br />