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Filed in Clerk's Office <br /> `1'-!,:•,i, STATEMENT OF BENEFITS <br /> x JUN 2 1 ?_02� zo 23 PAv 2024 <br /> _. REAL ESTATE IMPROVEMENTS — <br /> ✓• <br /> '• State Form 51761(R7!1-21) DAWN M.JONES FORM SB-1/Real Property <br /> ,.._ate% Prescribed by the Department of Local Government Fi <br /> CITY CLERK,SOUTH BEND INPRIVACY NOTICE <br /> This statement is being completed for real properly that qualifies under the o owi t11ar13eode- Any information concerning the cost <br /> ❑ Redevelopment or rehabilitation of real estate improvements(IC 6-1.1-12.1-4) of the property and specific salaries <br /> paid to individual employees by the <br /> l] 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 /> f 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 eperoved poor 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 /> Advantix Development Corporation <br /> o <br /> Address f taxpayer <br /> Nressand slrcct: 500 SE 10th Street ,;n- Evansville State: IN ZIP 47713 <br /> Name of contact person Telephone number E-mail address <br /> Eust _:,:e Tim ,,ut Narne Martin (812) 428-8500 tim.mertin@advantixeorpeom <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 Co.nty DLGF taxing district number <br /> \,,,:,),r,ar.,is,re,. See attached list t;t,. .,,. St. Joseph _ <br /> Descnption of real property improvements.redevelopment,or rehabilitation(use additional sneers'I necessary) Estimated start date(month,day.year) <br /> Construction of 50 new housing units throughout the city using 9% LIHTC <br /> funding. Estimated completion date(month,day.year) <br /> SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT <br /> Current NumberO Salaries$ O Number Retained O Salanes $ O Number Additional 2 Salaries$ 41,600 <br /> SECTION 4 ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT <br /> REAL ESTATE IMPROVEMENTS <br /> COST ASSESSED VALUE <br /> Current values $200.000 <br /> Plus estimated values of proposed project 314,000,000 <br /> Less values of any property being replaced $0 <br /> Net estimated values upon completion of project I 14 200.100 ;0 <br /> SECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER <br /> Estimated solid waste converted(pounds) I 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 representative / Date signed(month,day year) <br /> /wit-oZ Z L. i� 6/20/2023 <br /> Printed name of authorized representativeTtle COO <br /> Tim Martin <br /> Page 1 of 2 <br />