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CITY OF SOUTH BEND, INDIANA <br />PETITION FOR RESIDENTIAL TAX ABATEMENT CONSIDERATION <br />The undersigned owner(s) of real property, located within the City of South Bend, hereby petition the Common <br />Council of the City of South Bend for Residential Real Property tax abatement consideration and pursuant to I.C. <br />6 -I.1- 12.1 -1, et seq. and South Bend Municipal Code Sec. 2.76 et seu., for this petition state the following: <br />1. Describe die proposed construction project, including information about square footage, number of rooms, <br />number of stories, other amenities such as finished basements and garages, the amount of land to be used, the <br />proposed use of the improvements, and a general statement as to the importance of the project (use additional <br />2. <br />Estimate the dollar value of the construction project (do not include land cost): $300 I 060 <br />— ------ - - - - -- <br />3. The real property for which tax abatement consideration is petitioned (Property) is owned or to be owned by the <br />following individual(s) or corporation(s) (if the business organization is publicly held, indicate also the name of <br />the corporate parent, if any, and the name under which the corporation has filed with the Securities and <br />Exchange Commission): <br />4. The commonly known address of the Property is: $a1VW<A1 _PkA<e S }--------- - - - - -- -- and having tax <br />key no.:_ OL$_ 5033_ 11-7 I. DI (use additional sheet for multiple addresses or key numbers). <br />5. A legal description of said Property(s) is attached hereto, marked Exhibit A, and is incorporated herein. <br />6. A map and /or plat indicating the location of the Property(s) is attached hereto, marked Exhibit B, and is <br />incorporated herein. <br />7. Photographs of the Properry(s), taken within two (2) weeks of the filing of this petition, are attached hereto, <br />marked Exhibit C, and incorporated herein. <br />8. The current assessed valuation of the property before construction is $_ ----- (use (use additional sheet for <br />multiple addresses). (Information may be obtained from the St. Joseph County Assessor's Office, 235- 9523). <br />9. List the real property taxes paid at the location during the previous two years, whether paid by the current owner <br />or a previous owner (use additional sheet for mtdtiple addresses): <br />±�e I, c. bk_ as���i° clL „iJe�_so�4!�_l,u�scrumlr��na+ f�?� +l_Ce;riel�� <br />r4,�+a -ls slur y(T 3 8Czo14 Z- -�� +— � —his information may be obtained fronn the St. Joseph CounTreasurers office, 235 -9531) <br />10. What is your best estimate of the after completion market value of the property: ------------ <br />(Rev. 5/13/11) <br />