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* <br />STATEMENT OF BENEFITS <br />REAL ESTATE IMPROVEMENTS <br />State Form 51767 (R2 / 1 -07) <br />Name of contact person Telephone number E -mail address <br />Prescribed by the Department of Local Government Finance <br />This statement is being completed for real property that qualifies under the following Indiana Code (check one box): <br />❑ Redevelopment or rehabilitation of real estate improvements (IC 6- 1.1- 12.14) <br />® Eligible vacant building (IC 6 -1.1- 12.1 -4.8) <br />E 20_ PAY 20_ <br />RM SBA / Real Property <br />INSTRUCTIONS: <br />1. This statement must be submitted to the body designating the Economic Revitalization Area prior to the pubiic he 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 />"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) <br />2. Approval of the designating body (City Council, Town Board, County Council, etc.) must be obtained prior to initiation of the redevelopment or rehabilitation, <br />BEFORE a deduction may be approved. <br />3. To obtain a deduction, application Form 322 ERA/RE or Form 322 ERA/VBD, Whichever is applicable, must be filed with the County Auditor by the later <br />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 <br />shown on the records of the township assessor. <br />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 <br />show compliance with the Statement of Benefits. (lC 6 -1.1- 12.1- 5.1(b) and IC 6 -1.1- 12.1- 5.36)j <br />5. The schedules established under IC 6 -1.1- 12.1 -4(d) for rehabilitated property and under lC 6 -1.1 -12.1- 4.8(1) for vacant buildings apply to any statement <br />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 <br />July 1, 2000. <br />Name of taxpayer <br />Ceol Mor PrODertieS. LLC <br />Address of taxpayer (number and street, city, state, and ZIP code) <br />2416 River Ave, Mishawaka, IN 46544 <br />Name of contact person Telephone number E -mail address <br />Sean H Meehan <br />seas crookedewe.com <br />Name of designating body <br />Resolution number <br />South Bend Common Council ofu <br />Location of property <br />1047 Lincoln Way East, South Bend, IN 46544 <br />County DLGF taxing district number <br />St Joseph County 026 <br />Description of real property improvements, redevelopment, or rehabilitation (use additional sheets If necessary) <br />Estimated start date (month, day, year) <br />Improvements will include rehabilitating the exterior and interior of the building from general <br />August 1, 2013 <br />lack of up- keeping. We intend to add a facade as well as roof decks where the.community Estimated <br />completion date (month, day, year) <br />can en'o the river front setting. November 1, 2013 <br />Current number Salaries Number retained Salaries Number additional Salaries <br />two (2) $0.00 two (2) $100,000.00 twenty eight (28) $360,000.00 <br />Mill 1111101�6 <br />NOTE: Pursuant to IC 6 -1.1- 12.1 -5.1 (d) (2) the COST of the property REAL ESTATE IMPROVEMENTS <br />is confidential. COST ASSESSED VALUE <br />Current values Or= 000.00 78.700 <br />Plus estimated values of proposed project $320,000.00 $421,300.00 (estimated) <br />Less values of any property being replaced $0.00 $0.00 <br />Net estimated values upon completion of project <br />$375.000.00 $500 000.00 estimated <br />• • . • • <br />Estimated solid waste converted (pounds) n/a <br />=Estimated dous waste converted (pounds) n/a <br />Other benefits <br />CITY F CU;.ii ia.. , i.: w, l k- .. .,t9i , tr,.? ;. <br />I hereby certify that the representations in this statement are true. <br />' <br />Signature uthor' representative <br />Title <br />Date signed ( month, day, year) <br />' <br />Director <br />July 3, 2013 <br />.1 u 1 UI L <br />