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STATEMENT OF BENEFITS <br />20 PAY 20 <br />VACANT BUILDING DEDUCTION <br />FORM SBA / VBD <br />fe' <br />State Form 55182 (R 12 -14) <br />Prescdbed by the Department of Local Government Finance <br />PRIVACY NOTICE <br />This statement is being completed for real property that qualifies as an "eligible vacant building' as defined by <br />The cast and an Y?paripc indvitlual's <br />IC 6-IA-12.1-1(17). <br />sehq, intonation is mmStlenGal; the <br />balance of the filino is puUic recatl <br />perk 6- 1.1- 12.1x.1 CC) and (d). <br />INSTRUCT IONS: <br />1. This statement must be submi;lod to the body designalino the Economic Revitalization Area prior to the public hearing if the designating body <br />requires information f om the applicant in making its decision about whether to designare an Economic Revitalization Area. Olhenvise, this statement <br />must be submitted to the designating body BEFORE the occupation of the eligible vacant building for which the person wishes to claim a deduction. <br />2. To obtain a vacant building deduction, a Form 3221 BD must be fffed with the county auditor before May 101n the year in which the properly owner <br />orms tenant occupies the vacant building or not later than thirty (30) days after the assessment notice is mailed to the properly owner if it was <br />mailed after April 10. If the property owner misses the May 10 deadline in the initial year of occupation, he can apply between March 1 and May w <br />of a subsequent year. <br />g A properly ovmer who files the Form 3221VBD must provide the county auditor and the designating body with a Form CF -11V8D to show compliance <br />with the approved Form SB -1NBD. The Form CF -iIVBD must also be updated each year in which the deduction is applicable. <br />?age 1 of 2 <br />