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Filed in Clerk's Office <br />STATEMENT OF BENEFITS MAR 3L 1023 <br />2423 PAY2024 <br />a REAL ESTATE IMPROVEMENTS <br />Slate Fonn 51767 (R71 1-21) DAWN M. JONES FORM S8-1 <br />i Real Property <br />f Prescribed by the Department of local Government Fn gts,ITY CLERK, SOUTH BEND, IN PRIVACY NOTICE <br />This statement is being completed for real property that qualifies under the following Indiana Code (check one box): Any lntom*a on conwrn,ng the cost <br />0 Redevelopment or rehabilitation of real *state Improvements (IC 6 -1.1-12.1-4) of the property and apea(ic salaries <br />paid to tndMduaj a:npsoyew by the <br />Residentially distressed area (!C 6-1.1-12.1-4.1)property owns: is coniden:ln' per <br />ffYS7RUCTlONS- <br />iC 6 1T12.1- <br />5-1. <br />1. This statement must be submitted to the body designating the Economic Revrfafzotion Area prior to the public hearing d the designating body requires <br />information from the applicant in making its decision about whether to designafo an Economic Revitalization Area. Otherwise, this statement must be <br />submated to the designating body BEFORE the rodovelopmenf or rehabilitation of real property for which the person wishes to daim a deduction. <br />2. The statement cif benefrls form must be submitted to the designeb'ng body and the antis deslgnared an economic revitatization area before the initiation of <br />the redevafopmoM or rshabirdatfon for which the person desires to daim a doducaon. <br />3. To obtain a deduction, a Form 322IRE must be filed with the county auditor before May 10 in the year in which the addrb'on to assessed valuation is <br />made or not later than thirty (30) days after the assessment notice is mailed to the property owner if <br />N was marled eRarApril 10. A property owner wflo <br />faded to Me a deduction application wffhrb the prescribed deadline may fits an apppc*tion between January t and May 10 of a subsequent year. <br />4. A property owner who riles for Me daducbon must provide the county auditor and designating body with a Form CF-1/Real Pmperry. The Form CF-11Real <br />Property should be attached to the Form 322/RE when the deduction is fust claimed and than updated annually for each year the deduction Is appkcabla. <br />IC 6-1.1-12.1-5.1(b) <br />5. For a Form SS-ifReaf 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-1177eal Property that is approved prior to July 1, 2013, the abatement schod+de approved by the designating body <br />remains in effect. IC 6.1. <br />1.12.1-17 <br />Nana of tutyayar <br />Cross Community Inc. <br />Address of taxpayer <br />NamberandStreet: 707 Sherman Ave Citi South Bend sr.k: IN ztr: 46616 <br />Name of conte rersonWephono number E-mail addrom <br />pint Name. Tina L tNunr. Patton 1(574) 976-2106 tmpatton2®comcasi-net <br />SECTION• • AND DESCRIPTION OF ' f • • • PROJECT <br />Name of dastpnstino body <br />Common Council of the City of South Bend <br />Rosokibon number <br />Local.m of propo tf County DLGF tafdng dlytr4 number <br />Niu.ty,mdsem: 724 Harrison Avenue Oh, <br />south Bend Rate IN 2tr.46616 St. Joseph 026 (South Bend -Portage) <br />DasolDdon or reef prdPerty Improvamenta. rodavetopment, er renebUMadorf {ase eddfdon sheets 17 necessaryi Estimated alert data frnpnth, day, yea.J <br />We will building 2 new homes that in general will be between 1390-1620 sgft. The homes will 51112023 <br />be sold to first time homeowners who have participated in financial/credit building wo*shops. Earnawowoetiondata(anno, der ywrt <br />121IM23 <br />Current values <br />Plus estimated values Cf proposed pro)ed <br />Louvetues of any property being replaced <br />Net estimated values upon completion of pf <br />Estimated solid waste converted (pounds) <br />COST ASSESSED VALUE I <br />220,000 <br />220.000 <br />Estimated hazardous waste converted (pounds) <br />2.600 <br />S 242.406 <br />245.000 <br />Other ben aft <br />The homes will be sold to first time homeowners who have participated in financial/credit <br />building workshops, <br />SECTION 6 TAXPAYER CERTIFICA71ON <br />I hereby certify that the representations in thhi s}stattemmee/ <br />int <br />are true. <br />Sdgnaurre of autfwdx•d <br />ZAX— i! <br />I {)Biu efgned ;rrmrh. Cay, y'sa*1 <br />13/30/2023 <br />PM.ted name OT eulhorfud ropresentaihre Tttf• <br />Tina M. Patton President <br />Page i of 2