Laserfiche WebLink
M STATEMENT OF BENEFITS 20_PAY 20_ <br /> REAL ESTATE IMPROVEMENTS <br /> State Farm 51767(R21 1.07) FORM St3-1 I Real Property <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 /> II 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 /> 1. This statement must be submitted to the bodydosignating the Economic Revitalization Area prior to the public hearing if the designating body nequ6os <br /> information from the applicant In making its decision about whether to designate an Economic Revitalization Ares. Otherwise this statement must be <br /> submitted to Me designating body BEFORE the redevelopment O mhabllftation of reel pmperty far which Me person wishes to claim a deduction. <br /> Projects"planned or committed to after July i, 1987,and areas designated after July 1, 1967,require a STATEMENT OF BENEFITS. (1C 6-1.1-12.1) <br /> 2. Approval of Me designating body(City Council,Town Board,County Council,etc)must be obtained prior to Inithaflon of Me redevelopment or rehabilitation, <br /> BEFORE a deduction may be approved. <br /> 3. To obtain a deduction,application Fomf 322 ERAIRE or Form 322 ER"8D, Whichever is applicable,must be filed with the County Auditor by the later <br /> oP(1)Mey fo;or(2)thirty(36)days after Me notice of addition to assessed valuation or new assessment is maded to the property owner at the address <br /> shown PP the records of the township assessor. <br /> 4. Property owners whose Stalement of Benefits was approved after June 30, 1991,must attach a Form CF-f/Real Property annually to the application to <br /> show compfiance with the Stalememof Benefits. pC 6-11-12.1-5.1(b)and IC 6-17.12.1-5.3Q)j <br /> 5. The schedules established under IC 6-1.1-12.1-4(d)f or rehabdltated property and under IC 6-f.1-f2.1-4.8(1)for secant buildings apply to any statement <br /> of banefds approved on or after July 1, 2000. The schedules effective prior to July 1,2000,shall continue to appy to a statement of benefits(led before <br /> July 1,2000. <br /> e <br /> Name oftexpsyer <br /> East Hank South Bend Development, LLC _ _ . <br /> Address of taxpayer fnumoerand slreel,city,state,an'Zip-ds) <br /> PO Box 338, Notre Dame, IN 4556 <br /> Name of conduct person Telephone number C-mail address <br /> David Mathews :David @MatthewsLLC.COM <br /> 223=1 <br /> . •. <br /> Name of desigaI body Resolution number <br /> Location of prowy SZ fly DLGF sexing district number <br /> St.Joseph <br /> Description of real property Improvements,redevelopment,or rehabllid illoo(use additional sheets i1 necessary) Fsdtrnated Stan dale(month,day.yeafj <br /> December 15,2013 <br /> Ee'idnated mnpletbn date(mad11,day,yeal) <br /> August 15,2014 <br /> Curren)numberSaUri s' Number reuirrad ISalaras Number addblonal Salaries <br /> 0 0 0 0 0.5 $23,000 <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 ASSESSEDVALUE <br /> Curtent values $6,100 1 <br /> Plus estlmaled values of proposed project $2,500,000 $2.500,000 <br /> Less values of any property being replaced $6,100 $6,100 <br /> Net estimated values upon cam of project $2,5001000 $2,500,000 <br /> EsUmated solid waste convened(Pounds) ___ Estimated hazardous waste converted(pounds) <br /> Filed ffiee <br /> c " 2..) a13 <br /> JOr ' <br /> CITY CLEf$ie. 5'..:::s ii SEND,IN <br /> I hereby certify that the representations In this statement are true. <br /> nature of authorized rep lathe ----- -- Tde Date sig (coon ,day,year) <br /> SO Member ((� C} •< <br /> Page 1 of 2 <br />