07-13-15 Agenda, Packet & Committee Meeting Notice

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STATEMENT OF BENEFITS REAL ESTATE IMPROVEMENTS 1. Slate Form 51767(R4 /2 -13) 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): ❑ 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 I Real Property PRIVACYNOTICE The Cast and any spedfic Indlvidual's eatery Information h confidential the balance of the filing is public reCard 1perIC6-I.I-I2.I-S.1(c)and(d). INSTRUCTIONS: 1. This statement must be submitted to the body designating the Economic Revitalization Area priorto the public hearing if the designating body requires Information from the applicantin making its decision about whether to designate an Economic Revitalization Area. Otherwise, this statement must be submitted to the designating body BEFORE the redevelopment orrehabflftatlon of real property for which fhe person wishes to claim a deducObn. Fmiects "planned or committed to after July 1. 1987- and areas designated after July 1, i987. require a STATEMENT OF BENEFITS. (IC8 -1.1 -12.1) 2. Approval orthe designating body (City Council, Town Board, County Council, eta) must be obtained pdorto Initiation of the redevelopment or rehabilitation, BEFORE a deduction may be approved. 3. To obtain a deduction, a Form 5221RE must be hied with County Auditor before May 10 in the year In which the addition to assessed valuation is made ornot later than thirty (30) days afterthe assessment notice is mailed to the property owner ff it was mailed afterApri! 10. If the property owner misses the May 10 deadline in the lnittal yearof occupation, he can apply between March 1 and May 10 of a subsequent year. 4. Property owners whose Statement of Benefits was approved after June 30, 1991, must attach a Form CF- IlReal Property annually to the appllcaffon to show compliance with the Statement of Benefds. (IC b1.7- 12.1- 5.1(b) and IC 6-1.1- 12.13.30)]. 5. The schedules established. under IC 6-1.1- 12.1 -0(d) forrehabbilafed pmperryappty to any economic revitalization areas designated after June 30, 2000, unless an alternative deduction schedule is adopted by the designating. body (!C 61.1 - 12.1 -17). The schedules effective pdorto July 1. 2000, shall continue to apply to economic revitalization areas designated before Jury 1. 2000. •' Name of Taxpayer Amanptm Suasnm pertains. LP. Address of taxpayer (number endsbeet. Oily, slate, end ZIPcode) 227 S. Mal. Sheaf Suite 200 South Bend, IN 46601 Name of contact person Telephone number ml Manele Tape - 21]0`]4 (d faddress y propeaias.wm Name of designating body Resolution number City of South Bend Location of property County DLGF lazing district -number 5231 Dylan Drive, South Send, IN SL Joseph Desenptton of real properly improvements. redevelopment. or rehinalitavon (use additional sheets(! necessary) Estimeletl sled dale (manlh. day year) May 2015 The existing building wilt receive an addition of 60.ROsf. Estimated completion date (manor, day, yead Augual2010 • 14 IF Fit 101 • MW Cumenlnumber Salaries Numberrelxired Salaries Numberadditionai Salaries 62 $2.066,220 62 $2,086,220 a 5425.000 . Mugging • s • • a • -••• s••• REAL ESTATE IMPROVEMENTS COST ASSESSED VALVE Current values 53,500,000 sxzs1,1o0 Plus estimated values of proposed project SZIR.0o0 $1,500,009 Less values ofany property being replaced Net estimated values upon completion of project 55,s00,aoo 54.753,100 Estimated Solid waste convened (pounds) Estimateda wnverieq,(pqu _l Other benefits JOHN Vt fuka 6 CITY CLERIC, SOUTH BEND, IN caeccO SECTICN TAXPAYER CERTIFICATION I hereby rtiq that the esentations in this statement are true. Signature or au repr Toe Dale signed (manorp. day year) 2 S f y Page 1 of 2