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~% °"''~. STATE~e•Eft~T OF BEi~EFITS <br />a~``~~~ REAL ESTATE II~PROVEtIfiEf'~TS <br />F` State Form 51767 (R2 / 1-07) <br />'' ~ ~° Prescribed by the Department of Local Government Finance <br />l~l~ <br />This statement is being completed for real property that qualifies under the following Indiana Code (check one box): <br />~ Redevelopment or rehabilitation of real estate improvements (IC 6-1.1-12.1-4) <br />^ Eligible vacant building (IC 6-1.1-12.1-4.8) <br />20 08 PAY 20 09 <br />FORM SB-1 I Real Property <br />INSTRUCTIONS: <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 in making its decision about whether to designate an Economic Revitalization Area. Otherwise this statement must be <br />submitted to the designating body BEFORE the redevelopment or rehabilitation of real property for which the person wishes to claim a deduction. <br />"Projects" planned or committed to after July 1, 1987, and areas designated after July 1, 1987, require a STATEMENT OF BENEFITS. (IC 6-1.1-12.1) <br />2. Approval of the designating body (City Council, Town Board, County Council, etc.) must be obtained prior to initiation of the redevelopment or rehabilitation, <br />BEFORE a deduction maybe approved. <br />3. To obtain a deduction, application Form 322 ERA/RE or Form 322 ERA/VBD, Whichever is applicable, must be filed with the County Auditor by the later <br />of.• (1) May 10; or (2) thirty (30) days after the notice of addition to assessed valuation or new assessment is mailed to the property owner at the address <br />shown on the records of the township assessor. <br />4. Property owners whose Statement of Benefits was approved after June 30, 1991, must attach a Form CF-1/Real Property annually to the application to <br />show compliance with the Statement of Benefits. (IC 6-1.1-12.1-5.1(b) and IC 6-1.1-12.1-5.3Q)J <br />5. The schedules established under IC 6-1.1-12.1-4(d) for rehabilitated property and under IC 6-1.1-12.1-4.8(1) for vacant buildings apply to any statement <br />of benefits approved on or after July 1, 2000. The schedules effective prior to July 1, 2000, shall continue to apply to a statement of benefits filed before <br />July 1, 2000. <br />~. <br />Name of taxpayer <br />Northeast Nei hborhood Revitalization Or anization, Inc. <br />Address of taxpayer (number and street, city, state, and ZIP code) <br />803 Lincoln Wa West, South Bend, IN 46616 <br />Name of contact person Telephone number E-mail address <br />Philli E. B rd 574 289-1066 hilb sbherita e.or <br /> <br />.. 4' - <br />Name of designating body Resolution number <br />City of South Bend Common Council <br />Location of property County DLGF taxing district number <br />719 & 725 Turnock Street St. Jose h <br />Description of real property improvements, redevelopment, or rehabilitation (use additional sheets i(necessary) Estimated start date (month, day, year) <br />Two vacant properties will be developed into 2 new single-family residential homes. The 02/01/2009 <br />two new lots will include Lots D and E of Turnock's Subdivision of a part of Turnock and Estimated completion date (month, day, year) <br />Mack's Addtion to the Citv of South Bend and Dart of a vacated alley. © 04/30!2009 <br />• • . ~ • •.•• ~ •. _ ~~ .fir,;'. <br />Current number Salaries Number retained Salaries Number additional Salaries <br /> <br />NOTE: Pursuant to IC 6-1.1-12.1-5.1 (d) (2) the COST of the property REAL ESTATE IMPROVEMENTS <br />is confidential. COST ASSESSED VALUE <br />Current values 0.00 10 400.00 <br />Plus estimated values of proposed project 280 000.00 <br />Less values of any property being replaced <br />Net estimated values upon completion of project 280 000.00 <br />~ • . ~ • - . ~ <br /> <br />Estimated solid waste converted (pounds) Estimated hazardous waste converted <br />Other benefits ! ~ ~ `~ ~St ~ ~.! ~ ^ b t 6 <br />, t` 6sl <br />F1 <br />~ , <br />Not applicable. <br /> <br /> <br />---::.~- <br />•~~ ~;~ t~ <br />I hereby certify that the representations in this statement are true. <br />Signature of authorized represent 've Title Date signed (month, day, year) <br /> ra- ~ ~ zoos <br />Page 1 of 2 <br />