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IFiled in Clerk's Office <br /> .""""'o STATEMENT OF BENEFITS I �U 1 202 2023 PAY 2024 <br /> q '� REAL ESTATE IMPROVEMENTS <br /> dt IEt State Form 51767(R7/1-21) FORM SB-1/Real Property <br /> y DAWN M.JONES <br /> Prescribed by the Department of Local Government Finance crrY CLERK,SOUTH ENCI PRIVACY NOTICE <br /> This statement is being completed for real property that qualifies under the following n flneibo • ' ny Information concerning the cost <br /> Redevelopment or rehabilitation of real estate improvements(IC 6-1.1-12.1-4) of id t individual <br /> and employees <br /> salaries t es <br /> ❑ p P paid to individual employees by the <br /> ❑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 /> 1. 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 Properly that is approved prior 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 PEAK INVESTMENT & ASSET MANAGEMENT LLC <br /> Address of taxpayer <br /> Number and Street. <br /> 5199 Gardenia Ct City: West Lafayette ,tate. IN ZIF, 47906 <br /> Name of contact person Telephone number E-mail address <br /> First Mame: Praveen Last Name Gulati (765)412-0756 praveeng217@gmail.com <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 /> -maw of property County DLGF taxing district number <br /> Number and Street: 1405 Portage Ave ,,;,,. South Bend 11t1r: IN zip,46616 St. Joseph 026(South Bend-Portage) <br /> Description of real property improvements,redevelopment,or rehabilitation fuse additional sheets it necessary) Estimated start dale(month,day,year) <br /> New Neighborhood Shopping Center totaling 10,300 sq ft 3/1/2024 <br /> Estimated completion date(month.day,year) . <br /> 11/1/2024 <br /> SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT <br /> Current Number O Salaries$ 0 Number Retained O Salaries $ O Number Additional 15 Salaries$ 480,000 <br /> SECTION 4 ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT I <br /> REAL ESTATE IMPROVEMENTS <br /> COST ASSESSED VALUE <br /> Current values $37,000 $41,500 <br /> Plus estimated values of proposed project $1 400,000 $1,120,000 <br /> Less values of any property being replaced $37,000 $41,500 <br /> Net estimated values upon completion of project $1,400,000 $1,120,000 <br /> SECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER <br /> Estimated solid waste converted(pounds) 0 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 re osentau eDale signed(moolh.Jay,year) <br /> Printed namof authorized representative t Title <br /> pij...' <br /> Page 1 of 2 <br />