07-28-08 Council Meeting Agenda & Packet

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.•~~"` °"'`a~ STATEMENT OF BENEFITS ~~ `' REAL ESTATE IMPROVEMENTS Is-' ~~r Sla;e Form 51767 (R2 ! 1-07) •..-.a„,g' 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)'. Redevelopment or rehabilitation of real estate improvements (IC 6-1.1-12.1-4) ^ Eligible vacant building (IC 6-1.1-12.1-4.8) 20_ PAY 20_ FORM SB-1 I Real Property 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 SEFgRE the redevelopment or rehabilitation of real property (or which the person wishes to claim a deduction. "Projects" planned or committed to after July 1, 1987, and areas designated after July 1, 1987, require a STATEMENT OF BENEFITS. (1C 6-1.1-i2.1) 2 Approval of the designating body (City Council, Town Board, County Council, etc.J must be obtained prior to initiation of the redevelopment or rehabilitation, BEFORE a deduction maybe approved. 3. To obtain a deduction, application Form 322 ERA/RE or Form 322 ERA/VBD, Whichever is applicable, must be filed with the CountyAtrditor by the later of. (1) May 10; or (2) thirty (30) days after the notice of addition to assessed valuation or new assessment is mailed to the property owner at the address shown on the records of the township assessor. 4 Property owners whose Statement of Benefits was approved after June 30, 1991, must attach a Form CF-1/Real Property annually to the application to show compliance with the Statement o(Benefits. (IC 6-1.1-12.1-5.1(b) and IC 6-1.1-12.1-5.3Q)J 5. The schedules established under IC 6-1.1-12.1-4(d) for rehabilitated property and under IC 6-1.1-12.1-4.8(1) (or vacant buildings apply to any statement of benefits approved on or after July 1, 2000. The schedules effective prior to July 1, 2000, shall continue to apply to a statement of benefits filed before July 1, 2000. ~ •~ • Name of taxpayer `" a ~. ~~~ Address of taxpayer (number and street, city slate. and ZIP ccdeJ I I ` S 100 . ~- i vr.. 4~ ~ °:.~o ~ ~ ~p ~ Name of contact person Telephone number E-mail address r~ • • • to ~ • • • rr • ~ ~ • • ~ Name of designating body i i Resolution number I LOCatIOn of property Count DL ing district number ! Desonphon of real property improvements, redevelopment, or rehabdda(ion (use additiona/sheets i/necess ry) Estimated start date month. day. year) ~~ j ~0 ~. I:IJ ~ -~~'3`ttc~~~ *~- i5 -~ ~4 ~c~c~i!-;6th ~ ~-`~~~. r ~ 'I ~ ~~:~"<.. ~ ~`~`~ S~~-~-~ V~' ~'~ `~~ t C-~ "~~ ,~ Estimated completion date (monk, day, year) i i3~~ 5 ~~. o~;~. ~- aJ~ ,~F. w~Q~~~SZlS~, ~- 3,t~sE. t,; ~ ~a-3 ~ - o~ . -... . -. Curren) number Salaries Number retained Salaries Number additional Salaries ! t '~ 3bO oao- t a, ~ abo, c~ o~ ~ - '`I 1~o t~0. •.•. . ••. NOTE: Pursuant to IC 6-1.1-12.1-5.1 (d) (2) the COST of the property REAL ESTATE IMPROVEMENTS is confidential. COST ASSESSED VALUE j Current values Plus estimated values ofproposed project Lel ss values of any property being replaced _ Net estimated values upon completion of project • ~ ~• - • ~: ,~ Estimated solid waste converted (pounds) Estimated hazardous waste converted (pounds) _ i tither benefits i I hereb certify that the representations in this statement are true. i r>~ynatur authorized re.~s~[~a~,ive TUe Fi[~d to Gtr?~'~ office ~uN 3 a 2aog JJ;i1~ `dr^`t;= CITY Gt,c1.~C. „~ •~E:,1~ !'J. Date signed (month, %y°t~'i ~ ~ ~i --Q ~.~ Page 1 of 2