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Piled in Clerk S OM <br />tree <br />Rw, <br />MAR <br />d, ;, ! <br />NTS <br />rm 517e7(R7!1-21) CLERK JONES FORM 8B-1/Real PropertyPrescribedbytheDepartmentofLocalGovernmentFinanceITNBFNPRIVACYNOTICEThisstatementinbeingcompletedforrealpropertythatqualifiesunderthefollowingIndianaCode(chat Any Information concerning the cost2RedevelopmentorrehabilitationofrealestateImprovements(IC 6-1.1-12.1-4) of the property end specific eater es2Residentiallydistressedarea(IC 6-1.1.12.1-4.1)paid to in <br />wrier I <br />employees <br />i p <br />the <br />Property awrar Is conflden0ol perINSTRUCTIONS: 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 requiresinformationfromtheapplicantinmakingitsdecisionaboutwhethertodesignateanEconomicRevitalizationArea. Otherwise,this statement must besubmittedtothedesignatingbodyBEFOREtheredevelopmentorrehabilitationofrealpropertyforwhichthepersonwishestoclaimadeduction.2 The statement of benefits form must be submitted to the designating body and the area designated an economic revitalization area before the Initiation oftheredevelopmentorrehabilitationforwhichthepersondesirestoclaimadeduction. <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 whofailedtofileadeductionapplicationwithintheprescribeddeadlinemayfileenapplicationbetweenJanuary1andMay10ofasubsequentyear.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/RoesPropertyshouldbeattachedtotheForm322/RE when the deduction is first claimed and then updated annualty for each year the deduction is applicable.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 eachdeductionallowed. For a Form SB-1/Reel Property that is approved prior to July f, 2013, the abatement schedule approved by the designating bodyremainsineffect. 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 addressPintNameTinaLitNam- Patton 574) 876-2106 tmpatton2acomeast.net <br />SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECTNemoofdesignatingbody <br />Resolution numberCommonCounciloftheCityofSouthBend <br />Location of Property Co,rnty DLGF taxing district numberNumbtraadStreet726HarrisonAvenuenitt,. <br />South Band <br />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)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 <br />Date signed(month,day,year) <br />3/30/2023 <br />Printed name of authorized representative <br />Tina M. Patton <br />I° <br />President <br />Page 1 of 2 Filed in Clerk's Offir.? <br />MAR20202 r <br />Bianca Tirilt4CityClerk, South Gur)(1, {N