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rued in C_ <br /> ark S oft <br /> ce <br /> �.� BAR <br /> STATEMENT OF BENEFITS �•� ��?3 2023 PAY 2o24 <br /> 40 REAL ESTATE IMPROVEMENTS 0 RAIN <br /> \ 4 stale Form 51797(R7f 1-21) �'CCERk sM JONES FORM SB-1/Real Property <br /> Prescribed by the Department of Local Government Finance LIUTH , <br /> BEND PRIVACY NOTICE <br /> This statement is being completed for real property that qualifies under the following Indiana Code(cline' .,. Any information conceminy the cost- <br /> Redevelopmenl or rehabilitation of real estate Improvements(IC 6 1.1-12.1-4) of ate property end speaflc salaries <br /> ❑� Residentially distressed area(IC 6-1.1-12.1-4.1) <br /> paid to Individual it employees by the <br /> arty ovrner IL w"dential per <br /> INSTRUCTIONS: PC 9 t.t-t2 t-5 t <br /> 1 This statement must bo 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 ifs 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 art economic revitalization area before the initiation of <br /> the redevelopment or rehabilitation for which the person desires to claim a deduct/on. <br /> 3 To obtain a deduction,a Form 322/RE must be riled 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 Hit was mailed atter 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 10 of a subsequent year. <br /> 4. A property owner who riles for the deduction must provide the county auditor and designating body with a Form CF-1/Rest Property. Tho Form CF-1/Real <br /> Property should be attached to the Form 322/RE when the deduction is first claimed and than updated annually for each year the deduction Is applicable. <br /> IC 6-1.1.12.1.5.1(0) <br /> 5. For a Form SB-I/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 /> Cross Community Inc. <br /> Address of taxpayer <br /> NumberandStrmt 707 Sherman Ave Crr1 South Bend state: IN ZIP: 46616 <br /> Nano of Conte-1 person Telephone number E-mail address <br /> Pint Nurse:Tina Lot Name. Patton (574) 876-2106 tmpetton2g)oomcaat.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 district number <br /> Numberaad street 726 Harrison Avenue city.South Bend yufe; IN ZIP.46616 St. Joseph 026(South Bend-Portage) <br /> Duii t plion of reel property improvements,redevelopment,or rehebit!toUcn(use additional sheets I/necessary) Estimated start dote(month.day,year) <br /> We will building 2 new homes that in general will be between 1390-1620 sqft.The homes will 5/1/2023 <br /> be sold to first time homeowners who have participated in financial/credit building workshops. Eeerneted oomptetion dem(month,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 Salaries NumterAdditirnei Sotanes <br /> SECTION 4 ESTIMATED TOTAL COST AND VALUE Or PROPOSED PROJECT <br /> REAL ESTATE IMPROVEMENTS <br /> COST ASSESSED VALUE <br /> Current values $3,400 <br /> Plus estimated values of proposed project $220,000 S 241,600 <br /> Less values of any property being replaced <br /> Net estimated values upon completion or project 1220,000 $245.000 <br /> SECTION 5 WAS1 E CONVLRTED 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 /> S'gnaairo of sutrerizad representative Date signed(month.day,year) <br /> 3/30/2023 <br /> Printed name of authorized representative '. <br /> Tina M. Patton '�'aPresident <br /> Page 1 of 2 <br />