06-08-09 Common Council Meeting Agenda & Packet

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STATEMENT OF BENEFITS State Form 27167 (R7 / 12-01) ~ ~ Prescribed by the Department of Local Government Finance INSTRUCTIONS: FORM SB-1 i. This statement must be submitted to the body designating the economic revitalization area prior to the public hearing if the designating body requires infor- mation from the applicant in making its decision about whether to designate an Economic Revitalization Area. Otherwise this statemenf must be submitted to the designating body BEFORE a person installs the new manufacturing equipment and / or research and development equipment, or BEFORE the redevelopment or rehabilitation of real property for which the person wishes to claim a deduction. "Projects"planned or committed to after July 1, 7987 and areas designated aRerJuly 1, 1987 require a STATEMENT OF BENEFITS. (IC 6-1.1-12. i) 2. Approval of the designating body (City Council, Town Board, County Council, etc.) must be obtained prior to initiation of the redevelopment or rehabilitation, or prior to installation of the new manufacturing equipment and ! or research and development equipment, BEFOREa deduction maybe approved. 3. To obtain a deduction, Form 322 ERA, Real Estate Improvements and I or Form 322 ERA /PPME and 1 or 322 ERA / PPR & DE, must be filed with the county auditor. With respect to real property, Form 322 ERA must be filed by the later of.• (1) May 10; or~2) thirty (30) days after a notice of increase in real property assessment is received from the township assessor. Form 322 ERA /PPME and l or 322 ERA ~R & DE must be filed between March 1 and May 15 of the assessment year in which new manufacturing equipment and l or research and development equipment becomes assessable, unless a filing extension has been obtained. A person who obtains a filing extension must file the form between March 1 and the extended due date of that year. 4. Properly owners whose Statement of Benefits was approved after June 30, 1991 musf submit Form CF- 1 annually to show compliance with the Statement of Benefits. (IC 6-1.1-12.1-5.6) 5. The schedules established under IC 6-1.1-12.1-4(d) and IC 6-1.f-12.1-4.5 (e) effective July f, 2000 apply to any statement of benefrts filed on or after July Y, 2000. The schedules effective prior to July i, 2000 shall continue to apply to those statement of benefits filed before July 1, 2000. •- • Name of taxpayer Cleland Builders, Inc. Address of taxpayer (street and number, city, state and ZIP code) 7.11.7 Lincolnway West Mishawaka, IN 46545• Name of contact person Telephone number Lance Cleland, President ( ) Name of designating body Resolution number City of South Bend Common Council !_ocalion otproperty SOUth Side Of Br1Ck Road, 1/2 County Taxing district mile E s t of M l e S J Description of real property improvements and / or new manufacturing equipment and / or ESTIMATED research and development equipment (use additional sheets ilnecessary) Stara Date. Completion Date Construction of 7. single family house on Lot Real Estate 77 Jade Crossin Section One , g New Mfg Equipment R & DE N/A Current number Salaries Number retained Salaries Number additional Salaries -0- NA NA NA NA NA -. •. •-. NOTE: Pursuant to IC 6-1.1-12.1-5.1 (d) (2) the Real Estate Improvements Machlnety Research and Development Equipment COST of the property is confidential. Cost Assessed Value Cost Assessed Value Cost Assessed Value Current values 23 000 Plus estimated values of proposed project Less values of any property being replaced N A Net estimated values upon completion of project - ,~ ~t~ Estimated solid waste converted (pounds) Estimated haz rdo~ `v'1v~s~ e ~ unds) Other benefits: r~ O 2~~g ~ !~a L a , ttQ,lN. G1NV S~' ~~ . y h , . C~ G`~,;, ~ ~ hereb certify that the re resentations in this statement are true. Signature o authorized representative Title President, Date signed (month, day, year) Cleland .Builders , ~ _ ~ p ~ U Inc.