09-09-13 Council Agenda & Packet

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STATEMENT OF BENEFITS zo_ PAY 20_ REAL ESTATE IMPROVEMENTS h' ' Stato norm 51767 tR412 -131 FORM SB•1 / Real Property • Prescribed by the Department of Local Governmen! Finance PRIVACY NOTICE i his statement is being compleled for real properly itiat qualities under the following Indiana Code (check one boy) 1 tie cost and any spec:lic indivicua s Redevelopment or rehabilitation of real estate improvements (IC 6 -1 1- 12.1 -4) salary information is ccnfidenuat ire -' ba;ancc c! thC- rit:ng ,s put:ac rernra -: Residentially distressed area (IC 6 -1.1- 12.1 -4.1) Per IC G -1.1- 12.1 -5 1(cj an.7 (d). INCTRNC DONS "his statement must be submitted to the body designating the Economic Revitalization Area pnor 10 the pubic heanng if the designating body regvires mformahen from the applicant in making its decision about Miether to designate an Economic Revitalization Ares Othenlr'se tiers statement must be .�:ibrmt!&d to the designwing body BEFORE the tedevelopment or rehablitation of real prcperly for :vh,cfi the person i,ishes tc cla+m a deduction 'rProjects" planned or committed to after July 1 19687, and areas designated after July 1, 1987. require a STATEMENT OF BENEFITS (IC 6 -1 1 -12 1) prroval of the designating body (City Councd Town Poard County Counc,l. etc.) .nius! he obtained prior to initiation nt the redevelopment or rehabi.daticn, BEFORE deduction, may be approved To obtain, a deduction, a Form 3221RE must be tiled with the County Auditor before May 10 in the year in which the addition to assessed valuation is made or not later ti; an thirty (30) clays after the assessment notice is mated to the property citner if it +: is marred after April /C if the Properly m'.'ner misscm the May 10 deadiine in the initia! year of occupation., he can apply between /larch 1 and t ✓,ay :0 of a subsequent year trope iy owners whose Statement of Benefits inns approved after June 30. 1991, must atrach a Form CF -1/Rea Property annually to the app!,cabon to compliance i;rth the Statement rf Benefits JIG 6 1 1 -1 r 1.5 1(b) and 1C 6 -1 1.12 1 -5 5(j J `- _he schedules establ shed under IC 6 -1 1 12. 1 -ofd) for rehabililated prnpctfy apply 10 any economic rewtalizttion areas designated after June 30, 2060 un +css an alternative deducborr schedule r; adopted by!he- designapng bcdy (IC 6- 1 1 -12 1 -17; The schedntes effee:,ve pnor to uty ' 2C ✓Q she!; conLrulo to apply to eroncnLr revitalisation areas designated before Ju!y 1, '1000. • - INFORMATION Hoffman Hotel Apartments Housing Partners, L.P. 4000 W. 106th St, Suite 125 -146 William J. Hollinqsworth 317) 557 -9442 whollinasworth(&eoualdevelo 'inr;c G' CCSipnatvul t;Cyy ReS.^,rubn0 m;mr>er City of South Bend Common Council LC , t c ! c,!cperty _..:,a, -r ! di•.!r r „1 Del '20 VV. LaSalle St., South bend: Indiana St. Joseph e Tea! prc_ er.r m^provr_n'_ -rs re1cr^Inp -cni C, ..- .c ..s .,a,. t.cnai .. r ^i5 �1 r.pCp"", ! •r m., .•n -:a i ; -•e rnr,r, ;7: d.:: .ea. 1',' Story build:no to be rehabed into apartments 12101!2014 �.;..,.a•, :rr- ,pi, :!cr: r..Ye:,ra ;, ;:!: dc:y 01/01/2015 [c• re; cee _.'a -es :c ae : sa'ar,cs 0.00 i 50.00 0.00 $0.00 1.00 $35,000.00 REAL ESTATE IMPROVEMENTS COST ASSESSED VALUE Conent values — _ — — — — — 864.200.00 hs estirnatec values c! prnpcsed proiec Less values of any property being replaced 0.00 I rdet estimated values upon completion of piejea 2.364.200.00 PROMISED SECTION 5 WASTE CONVERTED AND OTHER BENEFITS i`st,matcd solid waste converted (pounds) cstnnalecl haza(dous waste converted ( pounds) CERTIFICATION SECTION 6 TAXPAYER 1 hereby certify that the representations in this statement are true. - ,ho fixed repro rabve !. Title Cate s,gnutd (month day. year; Member of General Partner 1 0812112013 Page 1 of 2