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STATEMENT OF BENEFITS 2023 PAY 2024 <br /> (-(; VACANT BUILDING DEDUCTION FORM SBA/VBD <br /> State Form 55182(R2/1-21) <br /> ", ✓I Prescribed by the Department of Local Government Finance <br /> PRIVACY NOTICE <br /> This statement is being completed for real property that qualifies as an"eligible vacant building"as defined by The cost and any specific individual's <br /> IC 6-1.1-12.1-1(17). salary information is confidential;the <br /> balance of the filing is public record <br /> per IC 6-1.1-12.1-5.1(c)and(d). <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 <br /> requires information from the applicant in making its decision about whether to designate an Economic Revitalization Area. Otherwise, this statement <br /> must be submitted to the designating body BEFORE the occupation of the eligible vacant building for which the person wishes to claim a deduction. <br /> 2 To obtain a vacant building deduction.a Form 322/VBD must be filed with the county auditor before May 10 in the year in which the property owner <br /> or his tenant occupies the vacant building or not later than thirty(30)days after the assessment notice is mailed to the property owner if it was <br /> mailed after April 10. If the property owner misses the May 10 deadline in the initial year of occupation,he can apply between January 1 and May 10 <br /> of a subsequent year <br /> 3 A property owner who files the Form 322NBD must provide the county auditor and the designating body with a Form CF-1NBD to show compliance <br /> with the approved Form SB-1NBD. The Form CF-1NBD must also be updated each year in which the deduction is applicable. <br /> SECTION 1 TAXPAYER INFORMATION <br /> Name of taxpayer <br /> Property Bros LLC <br /> Address of taxpayer <br /> Number and XStreet: 1251 N. Eddy Street, Suite 200 c, South Bend State: IN ZIP_ 46617 <br /> Name of contact person Telephone number E-mail address <br /> FIrct Noma Jordan Richardson (574) 904-5674 jordan@propertybroslIc.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 5054-23 <br /> Location of property County DLGF taxing distnct number <br /> Number and Street. 430 Cottage Grove Ave. City. south Bend State IN zip.46616 St. Joseph 026 (South Bend-Portage) <br /> Description of eligible vacant building that the property owner or tenant will occupy(use additional sheets if necessary). Estimated occupancy date(month,day,year) <br /> Vacant 2-unit residential building 2024-03-01 <br /> Estimated date placed-in-use(month,day,year) <br /> 2024-03-01 <br /> SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS A RESULT OF PROPOSED PROJECT <br /> Current Number O Salaries$ O Number Retained O Salaries $ 0 Number Additional O Salaries 0 <br /> SECTION ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT <br /> REAL ESTATE IMPROVEMENTS <br /> COST ASSESSED VALUE <br /> Current values $30,000 $45,400 <br /> Plus estimated values of proposed project $235,300 $188,240 <br /> Less values of any property being replaced $0 $0 <br /> Net estimated values upon completion of project $265.300 $233,640 <br /> SECTION 5 EFFORTS TO SELL OR LEASE VACANT BUILDING <br /> Deserted efforts by the owner or previous owner to sell lease or rent the budding during period of vacancy <br /> Current owner recently purchased the building and will rehabilitate the property. It is been vacant for <br /> several years and is currently in no shape to be rented. <br /> Show amount for which the building was offered for sale lease,or rent during period of vacancy. <br /> $30,000 <br /> List any other benefits resulting from the occupancy of the eligible vacant building. <br /> SECTION 6 TAXPAYER CERTIFICATION <br /> I hereby certify that the representations in this statement are true. <br /> Signature of�}�iori g„rgpre�priti3tiy�ar_/�M� Titte.EO 3nadrirngr ,day,year) <br /> J(iT (�(�( Kc(%�( a VYl Page 1 of'2 - <br /> Document Ref:TSSID-WE7ZE-V8A8R-RTABU <br />