04-13-15 Agenda, Packet & Committee Meeting Notice

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OSTATEMENT OF BENEFITS - REAL ESTATE IMPROVEMENTS S ® State Form 51767 (R412 -13) Prescribed by the Department of Local Government Finance This statement is being completed for real property that qualifies under the following Indiana Code (check one box): ❑ Redevelopment or rehabilitation of real estate improvements (IC 6.1.1- 12.1 -4) ❑ Residentially distressed area (IC 6 -1.1- 12.1 -4.1) INSTRUCTIONS: 1. This statement must be submitted to the body designating the Economic Revitalization Area prior to the public heating if the designating body requires information from the applicant in making its decision about whether to designate an Economic Revitalization Area. Otherwise, this statement must be submitted to the designating body BEFORE the redevelopment or rehabilitation of real property for which the person wishes to claim a deduction. '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) 2 Approval of the designating body (City Council. Town Board, County Council, etc.) must be obtained prior to initiation of the redevelopment or rehabilitation, BEFORE a deduction may be approved.. 3. To obtain a deduction. a Form 3221RE must be filed with the County Auditor before May 10 in the year in which the addition to assessed valuation is made or not later than thirty (30) days after the assessment notice is mailed to the property owner if H was mailed after April la If the property owner misses the May 10 deadline in the initial year of occupation, he can apply between March 1 and May 10 of a subsequent year 4. Property owners whose Statement of Benefits was approved after June 30, 1991, must attach a Form CF- IrReal Property annually to the application to show compliance with the Statement of Benefits. (IC 6- 1.1- 12.1- 5.1(b) and 1C 6 -1.1- 12.1 - 5.36)). 5, The schedules established under IC 6-1.1- 12.1 -4(d) for rehabilitated property apply to any economic revitalization areas designated after June 30. 2000. unless an alternative deduction schedule is adopted by the designating body (IC 6 -1.1- 12.1 -17). The schedules effective prior to July 1. 2000, shall continue to apply to economic revitalization areas designated before July 1, 2000. SECTION •- Name of taxpayer Rainbow Rascals South Bend LLC Address of taxpayer (number and street. city, state. and ZlPCode) 1732 Cracks Road, Troy, MI 48084 Name of contact person Telephone number E -mail address Chauncey Hitchcock 248 519 -1928 ( 1 chitchcockgrsinbowccc.com it • • • 1 • UN01 '• l-I 4911=1011IMM Name of designating body Resolution number City of South Bend Location of property County DLGF taxing district number 17288 State Road 23, Mishawaka 02- 2019091101 /02-2019-041103 Description of real property improvements. redevelopment. or rehabilitation (use additional sheets it necessary) Estimated start date (month, day. year) TBD 2015 Construction of a 10420 Sq. Ft. Child Care Facility and related City of South Bend improvements, to the addition of 316 LF of underground Sewer infirm Estimated completion date (month, day, year) TBD 2015 Current number Salaries Number retained Salanes Number additional Salaries 12 275.000.00 REAL ESTATE IMPROVEMENTS COST ASSESSED VALUE Current values 300.000.00 Plus estimated values of proposed project 1,255,000.00 1,5ss,000.00 Less values of any property being replaced Net estimated values upon completion of project 1.555,000.00 Estimated solid waste converted (pounds) 0 —��- Estimated hazardous o d (pnpnds _ Other benefits CIIYCI.ML�ia; 1�jr`�. � ..ai7,fN SECTION 6 TAXPAYER CERTIFICATION I hereby certify that the representations in this state t are true. Si atur of a t ed r re5enlalive Tide Dale 5igne (month day, year) Owner /J Page 1 of 2