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Filed in Clerk's Office <br /> I <br /> "`"''a STATEMENT OF BENEFITS MAR 3 L 2023 2023 PAY 2024 <br /> 4-' 1 REAL ESTATE IMPROVEMENTS �_ <br /> Slate Form 51707(R7/1-21) DAWN M.JONES FORM SB-1 I Real Property <br /> 4.. Prescribed by the Department of Local Government Finalccrry CLERK,SOUTH BEND,IN <br /> PRIVACY NOTICE <br /> This statement is being completed for real property that qualifies under the following Indiana Code(check one box): Any Information concerning the cost <br /> O Redevelopment or rehabilitation of real estate Improvements(IC 6 1.1-12.1-0) of the property and specNic safeties <br /> El Residentially distressed area(IC 6-1.1-12.1-4.1) paid to individual employees by the <br /> merry owrwr Is conrrdonbel per <br /> INSTRUCTIONS: PC t. -12.1-b.1. <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 proscribed deadline may file on application between January 1 and May 10 of a subsequent year. <br /> 4. A property owner who Ales for the deduction must provide the county auditor and designating body with a Form CF-1/Roal Property The Form CF-1/Reel <br /> Property should be attached to the Form 3224RE when the deduction is first claimed end 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 S8-1/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/Reef Property trial 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 <br /> Cross Community Inc. <br /> Address of taxpayer <br /> NumberandStreet: 707 Sherman Ave Coy South Bend Slate: IN Zip, 46616 <br /> Name at concoct person Telephone number E-mail addresa <br /> First Name-.Tina LastNamt Patton (574)876-2106 tmpatton2i comcast.net <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 /> Exalter of property County DLGF taxing district number <br /> N ab r n, ,ed street 724 Harrison Avenue city South Bend Stun IN yip.46616 St. Joseph 026(South Bend Portage) <br /> Description of real property Improvements,redevelopment,or rehabilitation(use additional sheets II necessary) Estimated start date(month,day.year) <br /> We will building 2 new homes that in general will be between 1390-1620 sqft. The homes will 5/1/2023 <br /> be sold to first time homeowners who have participated in financial/credit building workshops. Esteemed completion date(month,day,year) <br /> 12/1/2023 <br /> SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT <br /> current Number Salaries Number Retained Sa4tdes Number Additional Sala des <br /> SECTION 4 ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT <br /> REAL ESTATE IMPROVEMENTS <br /> Cunene-values COST ASSESSED VALUE <br /> $2.600 <br /> Plus estimated values of proposed project $220,000 S 242.400 <br /> Less values of any property being replaced <br /> Net estimated values upon completion of project S 220,000 $245,000 <br /> SECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER <br /> Estimated solid waste converted(pounds) Estimated hazardous waste converted(pounds) <br /> Other benefits <br /> The homes will be sold to first time homeowners who have participated in financial/credit <br /> building workshops. <br /> SECTION 6 TAXPAYER CERTIFICATION <br /> I hereby certify that the representations in this stateme t are true. <br /> Signature of authorized reprnsentallve Date signed(month.day year) <br /> 3/30/2023 <br /> Printed name of authorized ropresentatee Title <br /> Tina M. Patton I President <br /> Page 1of2 Filed in Clerk's c- ;.fix: <br /> ;..l(' 2 O Lfl _'i <br /> Bianca Timriti <br /> City Clerk, South Liuhtl, IN <br />