Bill No. 23-42 Five Corners LLC Resolution Designating Tax Abatement: 1144 Corby Blvd, SB, IN 46617

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--% STATEMENT OF BENEFITS n �ierk's o rf t 2023 PAY 2024 REAL ESTATE IMPROVEMENTS --C? I �` State Form 3 i 7;- a • ' 1-21 / FORM SB-1 1 Real Property Prescribed by the Deoaitment of Local Government FinanceL_______Filed JtiN O �? ,l/71 PRIVACY NOTICE I his statement is oeing cornoleted for real property that qualifies under the fodi (�ic_ecx one 0011/ A,ny nformation conc ruing the costj Redevelopment or rehabilitation of real estate improvements(IC 6-1.1-12C -"t4.JO.••� Iof the pop>_ry and snecifc salariesResidentially distressed area(IC 61.t-12,1 4.1) fl s S paid to individual employees oy the KoUTH'B property owner is confidential per INSTRUCTIONS �'N IC 5-1 +-12.+-5 1 I This statement must be submitted to the body designating the Economic Revitalization Area prior to the public n if the designating body requires information from the applicant in making its decision about whether to designate an Economic Revitalization Area Otherwise this statement must be submitted to the designating body BEFORE the redevelopment or rehabilitation of real property for which the person wishes to claim a deduction 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 the redevelopment or rehabilitation for which the person desires to claim a deduction 3 To obtain a deduction.a Form 322 PE must be filed with rhe county auditor before May 10 in the year in which the addition to assessed valuation is made or not later than thirty(30i days after the assessment notice is mailed to the property owner rf it was mailed after April 10 4 property owner who failed to file a deduction application within the prescribed deadline may file an application between January 1 and May 10 of a subsequent year 4 A property owner who files for the deduction must provide the county auditor and designating body with a Form CF-1,14eal Property The Form CR-1/Real Property should be attached to the Form 322./RE when the deduction is first claimed end then updated annually for each year the deduction is applicable IC 5-1 1-12 1-5 1(b) 5 For a Form S8-1/Real Property that is approved after June 30. 2013 the designating body is required to establish an abatement schedule for each deduction allowed For a Form S8-1/Real Property that is approved prior to July 1. 2013. the abatement schedule approved by the designating body remains in effect lC 5-1 1-12.1-17 SECTION 1 TAXPAYER INFORMATION Name of taxpayei i Fve Corners LLC Address of taxpayer Nir„t,i taxpayer 814 Marietta Street South Bend IN ZIP, 46601 Name of contact person Telephone number E-mailp address • FirstN.inm.Anne L......firs" Hayes (574) 210-5167 ahayes@teicompark.com SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT Name of designating body Resolution number Common Council of the City of South Bend vocation of property County DLGF taxing district number Numnci mil;,rrr 1 144 Corby Boulevard South Bend .t rL IN Z11 46617 St. Joseph 026(South Bend-Portage) Description of real property improvements redevelopment,or rehabilitation(use additional sheets it necessary) Estimated start date(month.day.year) Redevelopment of vacant land into two buildings featuring 108 rental 9/13/2023 Estimated completion date fmoeth,day year, apartment units and retail space 8/31/2025 SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT i Current NumberSalaries Salaries NumberAn7. '"3i Salaries 0 $ 0 0 $ 0 9 S 570.600 SECTION 4 ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT REAL ESTATE IMPROVEMENTS 1 COST ASSESSED VALUE Current values s o S 216,200 i Plus estimated values of proposed project $25.500,000 $19.600,000 Less values of any property being replaced _ _ S o S 2'6.200 Net estimated values upon completion of project 3 24,500.000 $19.600,000 SECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER Estimated solid waste converted(pounds) _;timated hazardous waste eorverteu ;po.a;asi Other benefits The project is being developed to meet the National Green Building Standard for sustainability and energy efficiency. SECTION 6 TAXPAYER CERTIFICATION I hereby certify that the representations in this statement are true Signature of authorized representative1 , +1.-11 loofa signed(month,day year)j1-, moo' , 6/30/2023 I Printed name of authorized reoresentative - ( Anne'Hayes Member 'age 1 of 2