01-12-09 Common Council Meeting Agenda & Packet

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-• 0. STATEMENT OF BENEFITS IF REAL ESTATE IMPROVEMENTS Y State Form 51767 (R2 / 1.07) °' ~~ Prescribed by the Department of Local Govamment 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) ^ Eligible vacant building (IC 6-1.1-12,1-b.8) 2009 PAY201U FORM SB-1 /Real Property 1NSTRUCT/ONS: i. 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 !n makinglts 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 rest property for which the person wishes fo claim a deduction. °Projects" planned or committed to after July 1, 1987, and areas designated aRer July t, 1987, require a STATEMENT OF BENEFITS. (IC 5-1.1-12.1) 2. Approval of the designating body (City Council, Town Board, County Council, etc.) must ba obtained prior to initiation of rho redevelopment or rehabi!Aalion, BEFORE a deduction maybe approved. 3. To obtain a deduction, application Form 322 ERA/RE or Form 322 ERANBD, Whichever is applicable, must be filed with the County Audilor by the later of (1) May i0; or (2) thirty (30) days after the notice of eddilion to assessed valuation or new assessment Is mailed to the property owner at the address shown on the records of the township assessor. 4. Property owners whose Statement of Benefits was approved after June 30, i99i, must attach a Fom7 CF-1/Real Property annually to the application to show compliance with the Statement of Benefits. jIC 8-i.1-12, i-5.1(b) and IC 6-1. t-i2.f-5.3Q)) 5. The schedules established under IC 8-1.1-i2.1-4(d) far rehabilitated property and underlC 61.1-i2. f-4.8(i) for vacant buildings apply to any statement of benefits approved on or after July 1, 2000. 7'he schedules effective prior to July i, 2000, shag continue to apply to a statement of benefits (fled before July i, 2000. • •- • Name of taxpayer Fortis Plastics, LLC Address of taxpayer (number and street, city, state, and Z!P code} 2965 LaVanture Place Elkhart, IN 46514 Name of conies person Telephone number E-mail address Lisa Makowski (574) 970-6477 Iisa.makowskiCo3atlantisDlas Name of designating body Resolution number City of South Bend Locatbn of property County DLGF taxing district number 3615 Voorde Dr St. Joseph 026 Descdpifon of real property Improvements, redevelopment, or rehabilitation (use addiliona! sheets it necessary) Estimated Stan dale (month, day, year) Building rehabilitation, repairs and improvements, new IT infrastructure. 02/01/2009 Estimated completion date (month, day, year) 06/01 /2010 Current number Salaries Number retained Saiar',as Number addNional Salaries 126 $3 925 900 126 $3,925,900 20 $i ,620,000 NOTE: Pursuant to IC 6-1.1-12.1-5.1 (d) (2) the COST of the property REAL ESTATE IMPROVEMENTS is confidential. COST ASSESSED VALUE Current values 1,484,400.00 1,484.400.00 Plus est~rtated values of proposed project 1.277.000.00 Lass values of any property being replaced 0.00 Net estimated values uQon completion of project 2.761.400.00 ~ ~ . - . ~ EsGrnaled solid waste converted (pounds) Estimated hazardous vraste converted (pounds} Other bene0is Rehabilitiation & reuse of building that has been vacant for over one year for new production operation and headquarters • I hereby certify that the representations in this statement are true. Signature of au dzed.representative Tillo Date signed (month, day, year) Corporate Treasurer 12/15/2008 Page 1 of 2