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For Staff Use Only Below This Line <br /> N/A-Personal Property:New Assembly the <br /> What Is the current assessed value? Real Property: Personal Property: <br /> What Is the projected assessed value? Real Property: Personal Property: <br /> What is the tax key number for this project? <br /> What Is the six digit NAILS code? <br /> Please attach a Goo`te map and street New of the location. <br /> Please list the amount of real and personal property taxes Real Property Taxes: Personal Property Tares: <br /> paid for the last five years when applicable. <br /> Year One <br /> 86,123.10 <br /> Year Two <br /> Year Three <br /> $4,364.98 <br /> Year Four <br /> Year Flve <br /> Please fill out the following Public Benefit Summary Information and add to total from above. <br /> (Y or NI 1 Points Points <br /> Public Benefit Item: <br /> Protect Related: <br /> 5 A. •Redevelop a Site that has Special Needs 49 <br /> B Develop Based on Local University Research 35 <br /> !Achieve a Physical Element of a Plan 36 <br /> Sub-total Project Related: 12C <br /> SuQgr Site Projegs joint values are cumulative': <br /> A. 100%to 199% 25 <br /> B. 2170%to 299% 68 <br /> C. 300%to 399% 65 <br /> 400%and Over - 52 <br /> ISub-total Super Sloe Projects: 210 <br /> 7 Pay for Municipal Infrastructure: <br /> A. .Pay for Oversiung or Upgrading 14 <br /> B. Payfor2650%ofExtensionCost 26 <br /> C. Pay for 51-75%of Extension Cost 39 <br /> D. Pay for 76-100%of Extension Cost 52 <br /> Sub-total Infrastructure Related: 131 <br /> Total from Applicant Section: 276 539 <br /> Total from Staff Section: 0 461 <br /> Total Public Benefit Points: 276 1000 <br /> Filed in Clerk's Office <br /> i JUL 0 5 2023 <br /> DAWN M.JONES <br /> CITY CLERK,SOU IhtstND,IN <br />