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r- — - <br /> Filed in Clerk's Office <br /> JUL 0 5 2023 <br /> z,{; o*r;- STATEMENT OF BENEFITS [}AWN M.JONES FORM SB-1 I PP <br /> PERSONAL PROPERTY CITY CLERK,SOUTH BEND,IN <br /> +l State Form 51764(R5 i 1-"•1) -ti <br /> PRIVACY NOTICE <br /> '�• »+ Prescribed by the Department of Local Government Finance Any information concerne,q ire cost <br /> o'the properly and specific Satan es paid <br /> to individual employees oy the property <br /> owner is confidential per IC 5-1.1-12 1-5.1 <br /> INSTRUCTIONS <br /> 1 This statement must be submitted to the body designating the Economic Revitalization Area prior to the oubhc hearrrg,f the designating body requires <br /> tntormatiot from the applicant in making its decision about whether to designate an Economic Revitalization Area Otherwise this statement must he <br /> submitted to the designating body BEFORE a person,nstalls the new manufacturing equipment and/or research and development equipment,and/or <br /> icgis;tical distribution equipment and/or information technology equipment for which'he person wishes to claim a der/uchon <br /> 7 the statement of benefits form must he submitted to the-desrgnat sg body and the area des,gnated an economic revrtaioation area before the installation of <br /> giidiiiying abatable equipment for which the person riesnes to claim a deduction <br /> 3 To octain a deduction,a person must lite a certified deuuct;on schedule with the person's personal property return on a certified deduction schedule <br /> (Form 103-ERA)with the township assessor o!the township wnere the property is situated or with the county assessor it there is nc township assessor for <br /> the township The 103-ERA must be filed between Jar'iary 1 and May 15 of the assessment year in wire»new manufacturing equipment and/or research <br /> and development equipment and/or logistical distribution equipment andior information technology equipment is installed and hilly functional unless a tiling <br /> extension has been obtained A person who obtains a tiling extension must file the form between January r and the extended due date of that year <br /> 4 Property owners whose Statement of Benefit:;was approved,must submit Form CF-1iPP annually to show compliance with the Statement of Benefits <br /> (IC 6-1 1-12 1-5 6) <br /> 5 For a Form S.9-1/PP that is approved atter June 30.2111:l the designating body is required to establish an abatement schedule for each deduction allowed <br /> For a Gorr»SR-1/PP that is approved prior to Juts 1 %0*3 the abatement scheNuie approved by the designal ng body remains'n effect -IC 6-1 1-12 I-17) <br /> SECTION 1 TAXPAYER INFORMATION <br /> Name of taxpayer Name of contact person <br /> Crossroads Solar Enterprises LLC F,r,:\,,�� Patrick terra,, Regan <br /> Ac,.,-,s of taeeayer Telephone number C:r,d <br /> 1901 N. Bendix Dr South Bend IN 46628 (607)759-1056 <br /> SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT <br /> Name of desigr a .. ResotuUnn number ts) <br /> Common Council of the City of South Bend <br /> uocafian 0!property County IDLGF taxing district number <br /> \Una. ,,.„i Sl roil <br /> 1901 N. Bendix Dr South Fiend IN ar ase?$ St. Joseph I 026(South Bend-Portage) <br /> Description of manufacturing equipment andlor research and development equipment ESTIMATED <br /> and/or logistical distribution equipment anrlinr information technology equipment. START DATE GOMP_ETION DATE <br /> :Use additional sheets of necessai <br /> The equipment is a fully automated solar panel assembly Manufacturing Equipment <br /> line. It will include a laminator, sun simulator, framing, R&D Equipment <br /> soldering unit and numerous conveyors. This equipment -- <br /> will increase our productive capacity by 4X. Logi6t plat Equipment <br /> IT Equipment <br /> SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT <br /> Ci.: • /'lump•- Salanes 50G,4OO Number Retained Salaries 582,400 Number Additional Salaries �CO'00n <br /> SECTION 4 JO ESTIMATED TOTAL COST AND VALUE OF PROPOSEDuiPROJECT J V <br /> NOTE:Pursuant to IC 6-1.1-12.1-5.1(d)(2)the MANUFACTURING R&D EQUIPMENT LOGIST DIST IT EQUIPMENT <br /> EQUIPMENT EQUIPMENT <br /> COST of the property is confidentialGOaT ASSESSED COST l ASSESSED COST ASSESSED coos ASSESSED <br /> VAI UE vALuE VALUE AWE <br /> Current values $0 <br /> Plus estimated values of proposed project $1,000,000 <br /> Less values of any property being replaced $0 r _ <br /> Net estimated values upon completion of project $1.000,000 50 ' $0 $n $o $,, $0 $0 <br /> SECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER <br /> Estimated solid waste converters ipnw:osl 0 _ Estimated hazardous waste converted;poun(ts) 0 <br /> Omeroer,ents. ---- ----- ------- <br /> SECTION 6 TAXPAYER CERTIFICATION <br /> I hereby ity that Ih• represenlat II this statement are true, <br /> Siq rata, or autho•. p res •live Cate <br /> us) torah. lay yew-) <br /> �.liaw.i i ? 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