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STATEMENT OF BENEFITS <br />REAL ESTATE IMPROVEMENTS <br />z' state Form 51767 1P.,2 1 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 />20_ PAY 20_ <br />FORM SB -1 I Real Property <br />INSTRUCTIONS: <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. <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 ERAIRE or Form 322 ERAIVBD, 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 tc <br />show compliance with the Statement of Benefits. (IC 6 -1.1- 12.1- 5.1(b) and IC 6 -1.1- 12.1- 5.3Q)J <br />5. The schedules established under iC 6 -1.1- 12.1 -4(d) for rehabilitated property and under /C 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 />r 9nnn <br />yEr.' ,.— Page 1 of 2 <br />Name of taxpayer <br />LLE Real Estate LLP <br />Address of taxpayer (number and street, city state, and ZIP code) <br />1555 Western Ave., South Bend, IN 46619 <br />Name of contact person <br />LeRoy S. Troyer, Partner <br />Telephone number <br />574- 259 -9976 <br />E -mail address <br />LST @troyergroup.com <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 />Southfield Lake (see attached address map) <br />St. Joseph <br />South Bend - Centre <br />Description of real property improvertoFf. redevelopment, or rehabilitation (use additional sheets it necessary) <br />Estimated start date (month. day, year) <br />Proposed construction of 1-9 new single family residential units contained within the 54.6 "a8 acre <br />SepLe111MI 15, 2000 <br />subdivision known as Southfield Lake. Each home will be approximately 1,500 -2,000 square feet. <br />Estimated completion date (month, day, year) <br />The Petitioner intends that the rice of each home will be between $160,000 and $240,000. <br />August 15, 2013 <br />number Salaries Number retained <br />Salaries Number additional Salaries <br />N/A <br />;Current <br />0 N/A N/A <br />N/A N/A <br />. <br />.•. <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 />ASSESSED VALUE <br />Current values <br />_COST <br />Q <br />$132,400 (land) <br />Plus estimated values of proposed project <br />22,240,000 to $33,360, <br />Det. under Reg. 17 <br />Less values of any property being replaced <br />IqTA- <br />Net estimated values upon completion of project <br />$22,240,000 to $33.360,000 <br />Det. under Re . 17 <br />Estimated solid waste converted (pounds) <br />Estimated hazardous waste converted (pounds) <br />Other benefits <br />Far. <br />I i <br />CITY CLFIK <br />7. SECTIONS-- ,.,TAXPAYER CEMICATION <br />I hereby certify Pat the representations in this statement are true. <br />Signature of authoriz repr iative ��� <br />ra•�. <br />Title Date signed (month, day, year) <br />LeRoy S. Troyer, Partner <br />yEr.' ,.— Page 1 of 2 <br />