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Filed in Clerk's Office <br /> ""'r•a STATEMENT OF BENEFITS 2023 PAY 2024 <br /> -ist--� REAL ESTATE IMPROVEMENTS �U 3 202 -3��� 1' �t State Form 51767(R7/1-211 __ FORM SB-1/Real Property <br /> `� %' Prescribed by the Department of Local Government Finance CITY CLUE KNSOUTH E ENU,IN <br /> PRIVACY NOTICE <br /> This statement is being completed for teal property that qualifies under the following n check one box ny information concerning the cost <br /> l�Redevelopment or rehabilitation of real estate improvements(IC 6-1.1-12.1-4) pa d tproperty <br /> ndvidual employeesand plate <br /> Pby <br /> ❑Residentially distressed area(IC 6-1,1-12.1-4.1) property owner is confidential 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 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 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 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/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 oftaxpayefPEAK INVESTMENT & ASSET MANAGEMENT LLC <br /> Address of taxpayer <br /> Number and Street: 5199 Gardenia Ct City: West Lafayette s,,, IN Lip: 47906 <br /> Name of contact personTelephone number E-mail address <br /> First Name: Praveen Last Name Gulati (765)412-0756 praveeng217@gmall.com <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 /> Number and Street: 1405 Portage Ave ,,;,,..South Bend stme. IN LIP:46616 St. Joseph 026(South Bend-Portage) <br /> Description of real property improvements,redevelopment.or rehabilitation Luse additional sheets if necessary) Estimated start date(month,day,year) <br /> New Neighborhood Shopping Center totaling 10,300 sq ft 3/1/2024 <br /> Estimated completion date(month.day,year) <br /> 11/1/2024 <br /> SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT <br /> Current Number 0 Salines$ iN::rbur PO.nred 0 S�lanas $ N �' <br /> Lnlher Additional •al�,n ,: <br /> e <br /> 0 15 $ 480,000 <br /> SECTION 4 ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT <br /> REAL ESTATE IMPROVEMENTS <br /> COST ASSESSED VALUE <br /> Current values $37,000 $41,500 <br /> Plus estimated values of proposed project $1.400,000 $1,120,000 <br /> Less values of any property being replaced $37.000 $41,500 <br /> Net estimated values upon completion of project $1 4)0.0)0 $1,120,000 <br /> SECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER <br /> Estimated solid waste converted(pounds) 0 Estimated hazardous waste converted(pounds) 0 <br /> Other benefits <br /> SECTION 6 TAXPAYER CERTIFICATION <br /> I hereby certify that the representations in this statement are true. <br /> Signature of authorized rer sentat aDate signed(month,day.year) <br /> es- <br /> b61oIIz3 <br /> Printed nam of authorized representative 1 Title O �h.(�1 <br /> rtZkV e tZ "\-11 "1'1'i b•�A 1_ _ <br /> Face 1 of 2 <br />