5087-24 Declaratory Resolution - Real Property Tax Abatement 711-713 Leland Avenue

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STATEMENT OF BENEFITS REAL ESTATE IMPROVEMENTS State Form 51767 (R7 i 1-21) Prescribed by the Department of Local Government Finance This statement is being completed for real property that qualifies under the following Indiana Code (check one box): El Redevelopment or rehabilitation of real estate improvements (IC 6-1.1-12.1-4) ❑ Residentially distressed area (IC 6-1.1-12.1-4.1) INSTRUCTIONS: 1. This statement must be submitted to the body designating the Economic Revitalization Area prior to the public hearing if the designating body requires information from the applicant in making its decision about whether to designate an Economic Revitalization Area. Otherwise, this statement must be submitted to the designating body BEFORE the redevelopment or rehabilitation of real property for which the person wishes to claim a deduction. 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 the redevelopment or rehabilitation for which the person desires to claim a deduction. 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 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 failed to file a deduction application within the prescribed deadline may file an application between January 1 and May 10 of a subsequent year. 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 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. IC 6-1.1-12.1-5.1(b) 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 deduction allowed. For a Form SB-1/Real Property that is approved prior to July 1, 2013, the abatement schedule approved by the designating body remains in effect. IC 6-1.1-12.1-17 2024 PAY 2025 FORM SB-1 / Real Property PRIVACY NOTICE Any information concerning the cost of the property and specific salaries paid to individual employees by the property owner is confidential per IC 6-1.1-12.1-5.1. SECTION 1 TAXPAYER INFORMATION Name of taxpayer Caspers-Shutts Family Trust Address of taxpayer Number and Street: 1221 Campeau Street City South Bend State. IN Z11'. 46617 Name of contact person Telephone number l irot Name. Amanda last N.," te_ Shutts (858) 210-2296 E-mail address acrowne@gmail.com SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT Name of designating body Common Council of the City of South Bend Resolution number 50$1- 24 Location of property Number and Street City State ZIP 711-713 Leland Avenue South Bend IN 46616 County St. Joseph DLGF taxing district number 026 (South Bend -Portage) Description of real property improvements, redevelopment, or rehabilitation (use additional sheets if necessary) Complete rehabilitation of the property including: 1. Rehab existing building and convert to a mixed -use structure providing residential units and commercial space. 2. Construct a new structure on the property that will include both residential units and other space for residential and commercial purposes Estimated start date (month, day. year) 3/1/2025 Estimated completion date (month, day, year) 3/1/2027 SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT Current Number 0 Salaries Si 0 Number Retained 0 Salaries $ 0 Number Additional 6 Salaries $ 180,000 SECTION 4 ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT REAL ESTATE IMPROVEMENTS COST ASSESSED VALUE Current values $ 0 $ 83,800 Plus estimated values of proposed project $ 450,000 $ 270,000 Less values of any property being replaced $ 0 $ 0 Net estimated values upon completion of project $ 450,000 $ 353,800 SECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER Estimated solid waste converted (pounds) 0 Estimated hazardous waste converted (pounds) 0 Other benefits SECTION 6 TAXPAYER CERTIFICATION I hereby certify that the representations in this statement are true. Signature of authoriz representative Date signed (month, day, year) 7/17/2024 Printed name of authorized representative andrew caspers Title owner Page 1 of 2