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STATEMENT OF BENEFITS <br />REAL ESTATE IMPROVEMENTS <br />State Form 61767 (R4 12 -13) - <br />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 boz): <br />❑ Redevelopment or rehabilitation of rea( estate improvements (IC 6- 1.1- 12.1 -4) <br />❑ Residentially distressed area (IC 6 -1.1- 12.14.1) <br />INSTRUCT IONS: <br />1. This statement must be submitted 10 the body designating the Economic Revitalization Area priorto the public hearing If the designating body requires <br />006rm86011 from the applicant in making its decision about whether to designate an Economic Reviteh'zatton Area. Otherwise, this statement must be <br />submitted to the designating body BEFORE the redevelopment orlahebllftatlon Of Mal property for which the person wishes to claim a deduction. <br />'Projects "planned or wmmltted to after✓ury 1. 1987, end areas designated after July 1. 1957, require a STATEMENT OF BENEFITS. (IC 61.1.12.1) <br />2 Approval of the designating body (City Council, Town Board, County Council, eta) must be obtained prior to Initiation of the redevelopment or <br />rehabllttetion. BEFORE a detlucfbn maybe approved. <br />3. To o6fain a tletludlon, a Form 322/RE 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 leterthan thirty (30) days aRerthe assessment notice is mailed to the property owner flit was mailed aRerApril 10. if the property owner <br />misses the May f0 deadline in the inRia/ year of occupation. he can apply between March f and May 10 of a subsequent year. <br />4. Property owners whose Statement of Beneilts was approved after June 30, 1991. must attach a Form CF1/Real Pro perty annually to the application to <br />5. The arhe u /es ea ebl�shed der lCt6 -1 12 -4( (or rehebilli ted°propeny epp/y to any economic re vitalization areas designated after June 30, 2000, <br />unless an alternative deduction schedule is adopted by the designating body fIC 6 -1.1- 12.1 -17). The schedu /es eNecthm nrinr m o,A, " <br />continue to apply to economic revhalizattcn em„�d >�w..a�e.r.._.___ __ ��n <br />Page 1 of 2 <br />