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STATEMENT OF BENEFITS <br />REAL ESTATE IMPROVEMENTS <br />' Stela form 6116) (R2 / 1 -0)) <br />Prescribed by the Department of Local Government Finance <br />This statement Is being completed for real property that qualities under the following Indiana Code (check one box): <br />O Redevelopment or rehabilitation of real estate Improvements (IC 6.1.1. 12.14) <br />❑ Eligible vacant building (IC 64.1- 12.1 -0.8) <br />INSTRUCTIONS: <br />I. This statement must be Submitted to the bodydesgnating the Economic RewlallzetionAree pnprto Me publiehs <br />bdomretim from the 8PPllcenfin making its decision about whetiherto designate an EconomicRev/te8zalamArea <br />submidedlo the designating body BEFORE the Mdevelopmentorlehabllltetion of real properly rah whkh theper <br />TMISCIS'PhWhild or committed to eBerJury f, 1987, and areas designated afie J 1 1987 <br />ab_ <br />FORM 98.1 I Raat Proporry <br />2. Approval aid* desgmen r ulY 987, require a STATEM&Nl UFBENEFITS. (lC 61.1 -12.1) <br />goody (Qty Counol. Town Baerd, County Council etc.) must be obleinadprtorro Initiation ofthe redevelopment orrehebll Muth, <br />BEFOREa tletlucfian maybe aPProved. <br />3 oh(btMey dedutio,PROWAM Farm 322 ERAIRE Or Form 322 ERAA/90, Whichever /s appli cable, must be filed with the Counryqudiforby the <br />(2) ny(30) days afterthe notice ofedddion to assessed valuation ornewerSSNment is mailed b the property owneretthe eddran <br />shown on the records o /the township assessor. <br />4. Property Owners whose Statement afBenefits was approved after June 30, 1991, must attacb a Form CicilReal Property anpua/y to the application to <br />show compltance with the Statemento /BOWNS. fC6 -r1- 12.7- 5.1(b,)and /C tMf.1- 12.1- 5.3(/)] <br />S. The schedules eate011shed undaNC 6 -7. f- 12.1- 4(d)fwreheb8gafed property end under IC 6- 1.1.12.1 - 4.8(1) for vacant buildings apply to any stalemate <br />ofbenefih OPplovedonorafterJu /yf,2000. The scheduleseOediVBPdoryo Juy 1,2000,shall continue to appNfo a statement afhe,wroe emd „ae.... <br />Ju/v 1. 2000. <br />I Gear LLC <br />Oera,MSrmet aky stab, end2/PWe1 <br />Br Gear Dr., South Bend, IN 46628 <br />E-maB <br />-y or Andrea scanavini Tewphone number 1 - ctb4 -o 3 <br />Common Council Readh <br />40f <br />Gear Dr., South Bend, IN 96628 County . Joseph X71 <br />impomnants, redevewpmenl, or fahabibtetion(aae ad0lbna /sheen ✓neceasery) Eaemai <br />See attached ..� <br />0 0.00 I._0- ..- _...-- <br />e . <br />NOTE: Pursuant to IC 8 -1.i- 12.7.5.1 (d) (2) the COST of the property <br />le nnnRAaul..l <br />Estimated solid waste convened *units) . L Estimated hazard <br />car be efk <br />Total employees to be hired is estimated to be 26 by the completion <br />9 <br />JAN (0! 2013 <br />I hereby certify thaq the representations In this statement are true. EIR <br />Page 1 of 2 <br />