Bill No. 23-44 Advantix Corporation CONFIRMING -Multiple Properties 10 Year Real Property Tax Abatement

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0STATEMENT OF BENEFITS 2023 PAY2o24 ,, REAL ESTATE IMPROVEMENTS S ` State Form 51767 (R71 1-21) FORM SBA / Real Property Prescribed by the Department of Local Government Finance I PRIVACY NOTICE This statement is being completed for real property that qualifies under the following Indiana Code (check one box): Any information concerning the cost ❑+ Redevelopment or rehabilitation of real estate improvements (IC 6-1.1-12.1-4) of the property and specific salaries paid to individual employees by the ❑ Residentially distressed area (IC 6-1.1-12.1-4.1) property owner is confidential per INSTRUCTIONS: IC 6-1.1-12.1-5.1 1 This statement must be submitted to the body designating the Economic Revitalization Area prior to the public hearing 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 3221RE must be filed with the county auditor before May 10 in the year in which the addition to assessed valuation is 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 failed to file a deduction application within the prescribed deadline may file an application between January land 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/Real Property. The Form CF-1/Real Property should be attached to the Form 3221RE when the deduction is first claimed and then updated annually for each year the deduction is applicable IC 6-1 1-12 1-5.1(b) 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 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 remains in effect. IC 6-1 1-12 1-17 Name of taxpayerAdvantixDevelopment Corporation Address of taxpayer Number and StrccC 5OO SE 10th Street City: Evansville State: IN zip: 47713 Name of contact person Telephone number E-mail address First Name: TI m Last Name: Martin (812) 428-8500 tim.martin@advantixcorp com SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT Name of designating body Resolution number Common Council of the City of South Bend Location of property County DLGF taxing district number Number and Street: See attached list City: State: Zip: St. Joseph 026 (South Bend -Portage) Description of real property improvements, redevelopment, or rehabilitation (use additions sheets d necessary) Estimated start date (month, day, year) Construction of 50 new housing units throughout the city using 9% LIHTC Current values $ 200,000 $ 0 1 Plus estimated values of proposed project Less values of any property being replaced Net estimated values upon completion of p Estimated solid waste converted (pounds) 0 Other benefits I hereby certify that the representations in this statement are true. Signature of authorized representative Printed name of auth5fzed representative Tim Martin $ 14,000,000 $0 $ 14,200,000 Estimated hazardous waste converted (pounds) 0 Page 1 of 2 Title Coo $ 2,295,238 $o $ 2,295,238 Date signed (month, day, year) 6/20/2023