06-08-15 Agenda, Packet & Committee Meeting Notice

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STATEMENT OF BENEFITS REAL ESTATE IMPROVEMENTS ® • -� State Form 51767 (R6/10-14) 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): 9 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) 20 PAY 20_ FORM SB -1 / Real Property PRIVACY NOTICE Any information concerning the cost of the property and specific salaries paid p to individual employees by the INSTRUCTIONS: Po pert owner Is confides list per 1. This statement must be submitted to the body designating the Economic Revitalization Area prior to the public hearing 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. Z The statement of benefits form must be submitted to the designating body and the area designated an economic revitalization area before the initiation of the redevelopment or rehabilitation for which the person desires to claim a deduction. 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 it was mailed after April 10. A property owner who failed to file a deduction application within the prescribed deadline may file an application between March 1 and May 10 of a subsequent year. 4. A property owner who files for the deduction must provide the CountyAuditor and designating body with a Form CF- I/Rea/ Property. The Form CF- 1/Real 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. IC 6 -1.1- 12.1- 5.1(b) 5. For a Form SB- 11Rea1 Property that is approved after June 30, 2013, the designating body is required to establish an abatement schedule for each 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 remains in effect. IC 6-1.1- 12.1 -17 •' 1 TAXPAYER INFORMATION Name of taxpayer TAMPICO DEVELOPMENTS, LLC Address of taxpayer (number and street, city, state, and ZlPcode) 737 RIVER POINTE PLACE, MISHAWAKA, IN 46544 Name of contact person Telephone number E -mail address DENNIS SCHWARTZ ( 574 ) 255 -1503 dschwl940 @aol.com SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT Name of designating body CITY OF SOUTH BEND COMMON COUNCIL Resolution number Location of property County DLGF taxing district number NW 1/4, SECTION 32, TOWNSHIP 37N, RANGE 3E ST. JOSEPH 033 Description of real property Improvements, redevelopment, or rehabilitation (use additional sheets if necessary) Estimated start date (month, day, year) CRESCENT OAKS, SECTION THREE - @PRESIDENTIAL SINGLE- FAMILY LOTS 2015 Estimated completion date (mordh, day, yeah +/- 3 years SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT ..•.,, =,,. s,,,aa, xaanas number retained Salaries Number additional Salaries SECTION • TOTAL COST OF PROPOSED PROJECT REAL ESTATE IMPROVEMENTS COST ASSESSED VALUE Current values 6, =,0o Plus estimated values of proposed project s,eoo.aoo.os Less values of any property being replaced Net estimated values upon completion of pro act ssezaao.00 Estimated solid waste converted (pounds) ��d(,�.f.s1, _ (P ) Estimated hazardous waste tlVerted looundsl. •. --�_ hereby certify that the representations in this statement are true. Sole Member Page 1 of 2 e. signed (month, day, year) lf-f /3 LD/-i