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STATEMENT OF BENEFITS <br />REAL ESTATE IMPROVEMENTS <br />State Form 51767 (R6110 -14) <br />'P 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 />9 Redevelopment or rehabilitation of real estate improvements (IC 6 -1.1- 12.1 -4) <br />❑ Residentially distressed area (IC 6- 1.1- 12.1 -4.1) <br />20_ PAY 20_ <br />FORM SB -1 / Real Property <br />PRIVACY NOTICE <br />Any information concerning the cost <br />of the property and speck salaries <br />paid to individual employees by the <br />property owner is confidential per <br />INSTRUCT IONS: <br />IC 6 -1.1- 12.1 -5.1. <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 />2. The statement of benefits form must be submitted to the designating body and the area designated an economic revitalization area before the initiation of <br />the redevelopment or rehabilitation for which the person desires to claim a deduction. <br />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 <br />made or not later than thirty (30) days after the assessment notice is mailed to the property owner if it was mailed after April 10. A property owner who <br />failed to file a deduction application within the prescribed deadline may rite an application between March 1 and May 10 of a subsequent year. <br />4. A property owner who fifes for the deduction must provide the County Auditor and designating body with a Form CF -1 /Real Property. The Form CF- l/Real <br />Property should be attached to the Form 3221RE when the deduction is first claimed and then updated annually for each year the deduction is applicable. <br />IC 6- 1.1- 12.1- 5,1(b) <br />5. For a Form SB- 1/Rea/ Property that is approved after June 30, 2013, the designating body is required to establish an abatement schedule for each <br />deduction allowed. For a Form SB -1 /Real Property that is approved prior to July 1, 2013, the abatement schedule approved by the designating body <br />remains in effect. IC 6- 1.1- 12.1 -17 <br />SECTION <br />O <br />Name of taxpayer <br />TAMPICO DEVELOPMENTS, LLC <br />Address of taxpayer (number and street, city, state, and ZIPcode) <br />737 RIVER POINTE PLACE, MISHAWAKA, IN 46544 <br />Name of contact person <br />Telephone number <br />E -mail address <br />DENNIS SCHWARTZ <br />I ( 574) 255 -1503 <br />dschwl940 @aol.com <br />SECTION • • D DESCRIPTION <br />OF ••• r PROJECT <br />Name of designating body <br />- <br />Resolution number <br />CITY OF SOUTH BEND COMMON COUNCIL <br />Location of property <br />County <br />DLGF taxing district number <br />NW 1/4, SECTION 32, TOWNSHIP 37N, RANGE 3E <br />ST. JOSEPH <br />033 <br />Description of real property improvements, redevelopment, or rehabilitation (use additional sheets if necessary) <br />Estimated start date (month, day, year) <br />CRESCENT OAKS, SECTION THREE - 20 RESIDENTIAL SINGLE - FAMILY LOTS <br />2015 <br />Estimated completion date (month, day, <br />+/- 3 years <br />SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES <br />AS RESULT OF PROPOSED <br />PROJECT <br />current number Salanes Number retained Salaries Number additional Salaries <br />SECTION • TOTAL COST AND VALUE OF -••• • PROJECT <br />REAL ESTATE IMPROVEMENTS <br />COST ASSESSED VALUE <br />Current values e2.00 W <br />Plus estimated values of proposed project a,aoo.aao.W <br />Less values of any property being replaced <br />Net estimated values upon completion of project 3.W2.M.W <br />SECTION • r AND OTHER BENEFITS PROMISED BY THE TAXPAYER <br />Estimated solid waste converted (pounds) Estimated haza firerv�e�tte51,(poul <br />Other benefits <br />kR'2 4 Z415 <br />JOHN voozim <br />CITY CLERK, SOUTH SEND, IN , <br />I hereby certify that the representations in this statement are true. <br />name <br />Lk <br />Page 1 of 2 <br />Sole Member <br />day, year) <br />