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Piled in <br /> Clerk S OM <br /> 'tree <br /> Rw, MAR <br /> d, ;�, ! NTS <br /> , rm 517e7(R7!1-21) CLERK JONES FORM 8B-1/Real Property <br /> \;.• Prescribed by the Department of Local Government Finance (ITN <br /> BFN PRIVACY NOTICE <br /> This statement in being completed for real property that qualifies under the following Indiana Code(chat Any Information concerning the cost <br /> 2 Redevelopment or rehabilitation of real estate Improvements(IC 6-1.1-12.1-4) of the property end specific eater es <br /> 2 Residentially distressed area(IC 6-1.1.12.1-4.1) paid to in wrier I employees i p the <br /> Property awrar Is conflden0ol per <br /> INSTRUCTIONS: C t. tz.t-s t. <br /> 1. This statement must be submitted to the body designating the Economic Revitalization Area prior to the public heenng 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 tiled 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 malted 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 en 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/Rea!Property. The Form CF-1/Roes <br /> Property should be attached to the Form 322/RE when the deduction is first claimed and then updated annualty for each year the deduction is applicable. <br /> IC 6-1.1-12.1-5.1(b) <br /> 5. For a Form SB-1/Rea!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/Reel Property that is approved prior to July f, 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 /> Number and Street 707 Sherman Ave City South Bend 54tr IN ZIP: 46616 <br /> Nero of contact person Telephone number 1 E-mail address <br /> Pint Name Tina Lit Nam- Patton (574) 876-2106 tmpatton2acomeast.net <br /> SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT <br /> Nemo of designating body Resolution number <br /> Common Council of the City of South Bend <br /> Location of Property Co,rnty DLGF taxing district number <br /> Numbtraad Street 726 Harrison Avenue nitt,.South Band Safe, IN zip,46616 St. Joseph 026(South Bend-Portage) <br /> Deecrptlon of real property improvements,redevelopment,or rehabilitation(use additional sheets If necessary) Estimated start date(month.day yew) <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. Estimated mmpietion 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 Salaries Number Additional Salaries <br /> SECTION 4 ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT <br /> REAL ESTATE IMPROVEMENTS <br /> COST ASSESSED VALUE <br /> Current values <br /> S 3,400 <br /> Plus estimated values of proposed project _ $220,000 S 241,600 <br /> Less values of any property being replaced <br /> Net estimated values upon completion of project $220,000 $245,000 <br /> SECTION 5 WASTE CONVLRTED 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 statement are true. <br /> Signature of authorized representative Date signed(month,day,year) <br /> 3/30/2023 <br /> Printed name of authorized representative <br /> Tina M. Patton �`I°President <br /> Page 1 of 2 Filed in Clerk's <br /> Offir.�? <br /> MAR20202�r <br /> Bianca Tirilt4 <br /> City Clerk, South Gur)(1, {N <br />