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°" c STATEMENT OF BENEFITS <br />REAL ESTATE IMPROVEMENTS <br />State Form 51767 (R2 / 1 -07) <br />"O 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 orrehabilitation 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 ERA/RE or Form 322 ERA/VBD, 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 to <br />show compliance with the Statement of Benefits. (lC 6- 1.1- 12.1- 5.1(b) and IC 6- 1.1- 12.1 - 5.30)] <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- 4.8(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 />July 1, 2000. <br />SECTION <br />•- <br />Name of taxpayer <br />South Bend Mutual Homes, L.P. <br />Address of taxpayer (numberand street, city, state, and ZIP code) <br />724 W Washington Street South Bend IN 46601 <br />Name of contact person Telephone number 2884369 <br />Anne Mannix <br />E -mail address <br />amannix.ndacgmail.com <br />SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT <br />Name of designating body <br />City Of $ W d1 Bend <br />Resolution number <br />Location of property <br />1015, 1042 and 1107 Oak Street, South Bend, IN <br />County <br />Coun Seinl Joseph <br />g district number <br />71026 <br />Description of real property Improvements, redevelopment, or rehabilitation (use additional sheets if necessary) <br />tart date (month, day, year) <br />Three single family homes will be re- established in the neighborhood using lots that were formerly residential and remained zoned as such. <br />LEsUmted <br />5 <br />ompletion date (month, day, year) <br />6 <br />SECTION OF • AND SALARIES AS RESULT=SED PROJECT <br />Current number Salaries Number retained Salaries Number additional Salaries <br />1 $35600 <br />SECTION • • • • •••• PROJECT <br />NOTE: Pursuant to IC 6 -1.1- 12.1 -5.1 (d) (2) the COST of the property REAL ESTATE IMPROVEMENTS <br />is confidential. COST ASSESSED VALUE <br />Current values <br />$ 3,000 $10.200 <br />Plus estimated values of proposed project <br />$ 617,871 $60.000 values restricted because of <br />Less values of any property being replaced <br />.0--0- limited rents/carrying charges" <br />Net estimated values upon completion of project <br />$620,871 $70200 <br />SECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED <br />BY THE TAXPAYER <br />Estimated solid waste converted (pounds) Na <br />Estimated hazardous waste converted (pounds) rile <br />Other benefits <br />South Bend Mutual Homes vnll bring the development of a residential cooperative to the Lilcolnway Corridor. The housing %QIll quality and will be afforda.bl —�-avr4r <br />income families who seek long term, stable housing options.ARadable housing will bring about ^tir)Led <br />much needed neighborhoods i oanareaofSouth Berhil in nbad bta'c redevel <br />The hones will be built with a number of green elements that vnll provide for log term suslainabiity and affordability. ..__._ <br />- <br />F---.- <br />•. -2 [015 I <br />CITY CLEA:", IN <br />SECTION 6 <br />TAXPAYER CERTIFICATION <br />I hereby Certify that the representations in this statement are true. <br />Signature of authorized representative /� / <br />fL� <br />Title South Bend Mutual Homes, L.P. <br />Date signed (month, day, year) <br />2120115 <br />c^*-, <br />BY: South Bend Mutual Homes, GP,LLC <br />,,age 1 of 2 BY: Anne Mannix, Member <br />mant. <br />