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' ti'-;r' STATEMENT OF BENEFITS 24 PAY 20 <br /> ,t REAL ESTATE IMPROVEMENTS — <br /> y State Force 51767(R4!2-13) FORM SB-1 I Real Property <br /> _- Prescribed by the Department of Local Government Finance _ <br /> PRIVACY NOTICE <br /> This statement is being completed Tor real property that qualifies under the following Indiana Code(check one box): The cost and any spectre ii 5e deal's <br /> O Redevelopment or rehabililaton of real estate improvements(IC b-1.1-12,1-4) salary lnformaLbn Is confidential.,she <br /> U ResIdentially distressed area(ICE 1.1-12.1-4.1) balance of the filing 16)aid record <br /> per IC 6.1,1-12.1-51(c)and(d). <br /> !NSTRUCTiONS. <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. Olhenvise,this statement must be <br /> submitted to the designating body BEFORE the redevelopment or rellablldatton of real property for which the person wishes to claim a deduction. <br /> "Prefects'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 redevcopment or <br /> rehabilitation,BEFORE a deduction may be approved. <br /> 3. To obtain a deduction,a Form 322/RE must be filed with the County Auditor before May 101n the year in which the addition to assessed valuation Is <br /> made or not later than thirty(30)days after the assessment notice is malted to the properly owner it it was mailed after April 10. If Ilia property owner <br /> misses the May 10 deadline In the Initial year of occupation,he can apply between March 1 and May 10 of a subsequent year. <br /> 4. Property owners whose Statement of Benefits was approved alter June 30, 1991,must attach a Form CF-!/Real Property annually to the application to <br /> show compliance with the Statement of Benefits. (IC 6-1.1-12.1-51(b)and IC 6-1,1-12.1-5.30)). <br /> 5, The schedules established under iC t>1.1-12.1.4(d)for rehabilitated property apply to any economic rev;tafzetion areas designated after June 30,2000. <br /> unless en alternative deduction schedule Is adopted by the designating body(IC 6-1.1-12.1-17). The schedules effective prior to July 1.2000,shaft <br /> continue to apply to economic revitalization areas designated before July 1,2000. <br /> SECTION 1 TAXPAYERINFORMATION•'=-;'--.,r': E_ ••• • <br /> Name of lanpeyer <br /> ma Tower at WestUngton Sgu:,-e LLC <br /> Address of tax—pa—ye:(number end shoal city slate,and ZIP cote) - <br /> 5-44 4715 Avorruc,3rd Floor.lair Ittend City,NY 11101 <br /> Name of contact person 1 Telephone number <br /> p E mall address <br /> Lye fly Angr•ades '(111-/86•5;55 c,etanrz•.ash riplonsouz•e',cg,4rea1 cbtt <br /> x��x <br /> SECTION 2"'• ___- ` F ".. 'LOCATION AND DESCIiIt?TIONfOFPROPOSEO PROJECTt •'- <br /> Neme of designating body Reeclulion number <br /> South Send Common Carnal <br /> Locates of property County DLGF texirg d•slrict r.umber <br /> 211 W.V.'oglon S. S1 Joseph <br /> Descnptan 0f real property improvement;.rede.olopmenr.or rensbnitebon(use ad ttorrelaheel's if necrsSary) EsLmated start data(month day,year} <br /> 09x291:i, <br /> The Ice=6x0 c spa and s: - cent dear-rad mantenence Issues have made the Guild a obscn'et-cent nithnrl n Complete modern'valion L1 bv'EN'nc u: Estimated cOmF4si,dale miel <br /> ( a1 inn <br /> • <br /> 0111/16 <br /> 3ECTIdN3-^-_ 5"..E;:.'':•:34 ESTIMATE:OFEMPCOYEES'ANDSALARIESASRESULT:ORPROP.OSEO.i?RO3EC7 4 T..•-- <br /> Cuaenlnumber Starter Number rele'ncd Sa•arje <br /> o 0 16.04•?•-'SECTION 4;=: .:':':`;'...;',--,.5:-.-- --?..-,_FSTIh1ATEO TOTAL COST`ANIiVALUE OF P,ROPOSED',PROJECT- .: - _ -,- <br /> REAL ESTATE IMPROVEMENTS — <br /> _____. ___,_ - _ COST ASSESSED VALUE• <br /> Current values --.- c ,,a 9 c;.2 3 <br /> Plus estimated values of proposed project 12597000 <br /> Less values of any property being replaced <br /> 3 - <br /> Net estimated values upon completion of• •'ect t <br /> - SECTION 5 - WASTE CONVERTEDANDOTHER•BENEF.ITS.PROMISED:BYTHE.TAXPAYER" -• :: -:• <br /> Estimated solid waste converted(pounds) Estimated hazardous waste converted(pounds). <br /> j Other benefits - - - r •r _ <br /> 2 0 1015 <br /> L_ <br /> SECTION 6' — TAXPAYER CERTIFICATION w t.I, It I <br /> I hereby certify that the representations in this statement are true. <br /> Signatsre of f•.nzed represenu Tee —�Dale signed(month,say,wed <br /> i Il: !.tanabei &'18115 <br /> Page 1 012 <br />