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STATEMENT OF BENEFITS <br />�4 REAL ESTATE IMPROVEMENTS <br />alb )+ State Form 51766 (R2 / 1 -07) <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- 12.1 -4) <br />• Eligible vacant building (IC 6 -1.1- 12.1 -4.8) <br />INSTRUCTIONS: <br />SEE EXHIBIT A FOR TAX <br />YEARS <br />FORM SB -1 / Real Property <br />1. This statement must be submitted to the body designating the Economic Revitalization Area prior to the public hearing 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. "Projects" <br />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 322ERAIRE or Form 322 ERA/VBD, Whichever is applicable, must be filed with the County Auditor by the later of.. <br />(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 <br />on the records of the township assessor. <br />4. Property owners whose Statement of Benefits was approved after June 30, 1991, must submit Form CF -1 1RE annually to show compliance with the <br />Statement of Benefits. (IC6 -1.1- 12.1- 5.1(b)) <br />5. The schedules established under IC 6 -1.1- 12.1 -4(d) for rehabilitated property and under IC 6 -1.1- 12.1- 4.6(1) for vacant buildings apply to any statement of <br />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, <br />2000. <br />SECTION •- • <br />I hereb y certi fy that the representations in this statement are true. <br />Name of Applicants <br />UNIVERSITY OF NOTRE DAME DU LAC, INNOVATION PARK AT NOTRE DAME, INC., AND FUTURE TENANTS <br />Address (number and street, city, state, and ZIP code) <br />C/O PHILIP J. FACCENDA, BARNES & THORNBURG LLP, 100 N. MICHIGAN ST., STE 600, SOUTH BEND, IN 46601 <br />Name of contact person <br />Telephone number <br />E -mail address <br />PHILIP J. FACCENDA <br />( 574 ) 233 -1171 <br />PFACCENDA @BTLAW.COM <br />SECTION 2 LOCATION AND DESCRIPTION <br />OF PROPOSED PROJECT <br />Name of designating body <br />Resolution number <br />COMMON COUNCIL OF THE CITY OF SOUTH BEND <br />Location of property <br />County <br />DLGF taxing district number <br />EDISON RD., ADJOINING TWYCKENHAM DRIVE EXTENSION ON SR 231 <br />ST. JOSEPH <br />71026 <br />Description of real property improvements, redevelopment, or rehabilitation (use additional sheets if necessary) <br />Estimated start date (month, day, year) <br />SEE EXHIBIT A <br />SEE EXHIBIT A FOR DESCRIPTION OF REAL PROPERTY IMPROVEMENTS CONTEMPLATED BY <br />PHASES I -IV OF INNOVATION PARK AT NOTRE DAME <br />Estimated completion date (month, day, year) <br />SEE EXHIBIT A <br />SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT <br />Current number Salaries Number retained Salaries Number additional Salaries <br />ZERO (0) ZERO (0) NOT APPLICABLE NOT APPLICABLE SEE EXHIBIT A SEE EXHIBIT A <br />SECTION 4 ESTIMATED TOTAL COST AND <br />VALUE OF PROPOSED PROJECT <br />NOTE: Pursuant to IC 6 -1.1- 12.1- 5.1(d)(2) the COST of the property <br />REAL ESTATE IMPROVEMENTS <br />is confidential. <br />COST <br />ASSESSED VALUE <br />Current values <br />ZERO (0) <br />ZERO (0) <br />Plus estimated values of proposed project <br />SEE EXHIBIT A <br />SEE EXHIBIT A <br />Less values of any property being replaced <br />NOT APPLICABLE <br />NOT APPLICABLE <br />Net estimated values upon completion of project <br />SEE EXHIBIT A <br />SEE EXHIBIT A <br />SECTION • ■ <br />AND OTHER BENEFITS PROMISED BY THE TAXPAYER <br />Estimated solid waste converted (pounds) NOT APPLICABLE <br />Estimated hazardous waste converted (pounds) NOT APPLICABLE <br />Other benefits: <br />SECTION • <br />I hereb y certi fy that the representations in this statement are true. <br />Signatur orized re resentat' a <br />Title <br />Date signed (month, day, year) <br />a <br />John A. Sejdinaj <br />Vice President for Finance <br />August 8, 2008 <br />Page 1 of 2 <br />