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Filed Ire oJ* Office <br />STATEMENT OF BENEFITS F- <br />Piescilbed 7 2015 PERSONAL PROPERTY FORM SB -1)Pp <br />State F.. 51764(112112 -11) JgPII by the Department of Local Government Finance CITY CLERK, SOUTH SEND, IN _ PRIVACY NOTICE <br />INSTRUCTIONS: I Par 1115-.1.14 <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 Zr) making its decision about whether to designate an Economic Revitalization Area. Otherwise this statement must be submfifed <br />to the designating body BEFORE aperson Installs the nawmanufectudng equipment andforresearch and development equipment, and/or logistical dfsuibudi <br />equipment andlorinformatlon technology equfpmentfor which fhaperson Wishes to claim a deduction_ Fro)ecls' planned or committed to afterJUty i ,9987, on <br />and areas designatedeRer July 1,la87,requtrea STATEMENI-OFBENEFITS. <br />2. Approve/ ofthe designating rid development body (City Council, Town Board County Lbuncfl, etc.) must be obfelned prior to installation of the newmanufactudng equipment <br />and/or research and development equlpmenf androrlogfsllcal distributiont equipment end/orinformab'on technology equipment. BEFORE a deduction may <br />be approved <br />3. 7o obtain a deduction, a person most file a certified deduction schedule with the person's personal propenyretum on a can/fied deduction schedule (Form <br />103-ERA) with the tovmshfp assessor of the lownsh /p where the propeny/s situated or with the county assessorif there is no township assessor for the <br />township. The 103 -ERA must be filed between March i and May 15 ofthe assessment yearin which new manufacturing equipment andlormsearch and <br />development equipment and/or logistical distribution equipment and/or Information technology equipment is Installed and fully functional, unless a filing <br />extension has been obtained. A person who obtains a fing extension must file the form behvean March 1 and the extended due date of that year. <br />4. Property owners whose statement ofBanelits was approved after June 30, 1991, must submit Form CF -1 /PP annually to show compliance With the <br />Sletamenl OtBeneffts. (IC64,14ZI -5.6) <br />5. The schedules established under /C 6-1,1- 12.1- 4.5(d) and (e) apply to equipment mstafled after March 1, 2001, unless an alternative deduction schedule is <br />adopted by the designating body (IC 61.1 - 12.1 -17). <br />nt aty state, and2lPf <br />• • • t <br />• -• • r <br />.- . <br />NOTE: Pursuamto IC 6 -1.1- 12.1 -5 -1 (d) (2) the <br />contacl Person <br />R & D EQUIPMENT <br />LODIST <br />nke <br />C057 of the property is confidential. <br />Telephone number <br />=D <br />E UIPMENT <br />574-234-4116.A214 <br />• • • 11 • • <br />Name of deslgnatln9 body <br />•••• •••• <br />COST <br />South BeM Common Cound <br />COST ASSESSED <br />R•60NIIOn eVmbet (s) <br />Location of property <br />4701 Is= Padavay, Soy Bard, IN 46628 <br />Counseph <br />D' number <br />VALUE <br />Plus estimated values of proposed project <br />�laxinodistrfct <br />DescfiPlion of manufacturing equipment and /or research and development equipment <br />and/or logistical distribution equfpment and/or information technology equipment, <br />ESTIMATED <br />(use addllfonafshe6(S if necessary) <br />Net esttmated values upon completion of project <br />6,046250 <br />START DATE COMPLETION DATE <br />Manufacturing Equipment <br />o741 -2o15 <br />ozaa.zol8 <br />R & D Equipment <br />• <br />One CNC Gear Nobbing Machine, One CNC Gear OeWmng Ma W'ne, Two CNC Gear GdnGng Matltlnes <br />FcdmataA Mid warm rnnvnAnA rrr...Aa n <br />Logtst Dist Equipment <br />IT Equipment <br />Current number Salaam <br />• • • • <br />oeames Numbereddidanal <br />$3,7GG,O0p 4 Salaries <br />$141,440 <br />• <br />• • • t <br />• -• • r <br />.- . <br />NOTE: Pursuamto IC 6 -1.1- 12.1 -5 -1 (d) (2) the <br />TURING <br />ENT <br />R & D EQUIPMENT <br />LODIST <br />C057 of the property is confidential. <br />=D <br />E UIPMENT <br />IT <br />IT EQUIPMENT <br />ASSESSED <br />VALUEyAEj <br />COST <br />COST ASSESSED <br />COST ASSESSED <br />Curren /values <br />5068280 <br />-EO <br />VALUE <br />VALUE <br />Plus estimated values of proposed project <br />LMANUFACTUFUN <br />00.Goo <br />Less values of any properly being replaced <br />Net esttmated values upon completion of project <br />6,046250 <br />• <br />• <br />• •: <br />FcdmataA Mid warm rnnvnAnA rrr...Aa n <br />Omer <br />ofeulhorized <br />tSllm6[ed hazardous waste converted (pounds) 0 <br />In this <br />Page 1 of 2 <br />We. <br />day, <br />