06-24-13 Council Agenda & Packet

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STATEMENT OF BENEFITS * : REAL ESTATE IMPROVEMENTS 20_ PAY 20_ State Form 51767 (R3 /12-11) FORM S13-1 / Real Property 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): m 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) 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. Projects "planned or committed to after July 1, 1987, and areas designated after July 1, 1987, require a STATEMENT OF BENEFITS. (IC 6 -1.1 -12.1) 2. Approval of the designating body (City Council, Town Board, County Council, etc.) must be obtained prior to initiation of the redevelopment or rehabilitation, BEFORE a deduction may be approved. 3. To obtain a deduction, application Form 322 ERA/RE or Form 322 ERA/VBD, Whichever is applicable, must be filed with the Count yAudiior 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, if any, or the county assessor. 4. Property owners whose Statement of Benefits was approved after June 30, 1991, must attach a Form CF- llReal property annually to the application to show compliance with the Statement of Benefits. /IC 6 -1.1- 12.1- 5.1(b) and IC 6-1.1- 12.1- 5.36)] 5. The schedules established under IC 6 -1.1- 12.1 -4(d) for rehabilitated properly and under IC 6 -1.1- 12.1- 4.8(1) for vacant buildings apply to any statement of benefits approved on or after July 1, 2000, unless an alternative deduction schedule is adopted by the desig ng b y 1.1- 12 (lC schedules effective prior to July 1, 2000, shall continue to apply to a statement of benefits filed before Jul nati y 1, 2000. od 6- .1 -17). The Name of taxpayer TAMPICO DEVELOPMENTS, LLC Address of taxpayer (numberand street, city, state, and ZIP code) 737 RIVER POINTE PLACE, MISHAWAKA. IN 46544 Name of contact person Telephone number DENNIS SCHWARTZ 574 255 -1503 �E;all addr ess MIS w1940 aol.com Name of designating body CITY OF SOUTH BEND COMMON COUNCIL Resolution number Location of property County 3926 -08 NW 1/4, SECTION 32, TOWNSHIP 37N, RANGE 3E ST. JOSEPH DLGF taxing district number Description of real property improvements, redevelopment or rehabilitation (use additional sheets if necessary) 033 CRESCENT OAKS, SECTION TWO - 18 RESIDENTIAL SINGLE-FAMILY LOTS Estimated start date (month day, year) .(4 ALREADY DEVELOPED /STARTED 2013 Estimated completion date (month day, year) +/- 5 YEARS • • 0M.1 WAN 1 wimal -• -• ■•-• Current number Salaries Number retained Salaries Number additional N/A N/A N / A N/A Salaries N/A NJ [go- N/A NOTE: Pursuant to IC 6- 1.1- 12.1 -5.1 (d) (2) the COST of the property REAL ESTATE IMPROVEMENTS is confidential. COST Current values ASSESSED VALUE 540 000.00 Plus estimated values of proposed project 2,700,000.00 71,900.00 Parent Parcel Less values of any property being replaced Net estimated values upon completion of oroiect Estimated solid waste converted (pounds) N/A Other benefits N/A that the representations in this statemeDt are true. Estimated hazardous waste converted (pounds) N/A Flied Title SOLE MEMBER Page 1 of 2 Date signed (month, day, year)