06-22-09 Common Council Meeting Agenda & Packet

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,~`."="`• STATEMENT OF BENEFITS J~'..._ ~.~. ( ;;~ ,~ REAL ESTATE IMPROVEMENTS . j f State Form St767 (R2l 1-07) ,, .,~ Prescribed by the Depatiment of Local Government 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 btiilding jIC 6-1.1-12.1-4.6) 20_ PAY 20_ FORM SB-7 1 Real Property INSTRUCTIONS: 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 fn making ifs 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 real propeRy for which tl~e person wishes to claim a deduction. "Projects"planned or'ciimmltted to aRer July i, 1987, and areas designated after July ~, 1987, regufre a STATEMENT OF BENEFITS. (!C 6-i.1-i2.1) 2. App~o4a1 of the designating body (City Council, Town Board, County Council, atc.J must be obtained prior to fnffiation of the redevelopment or rehabilitation, BEFORE a deduction maybe approved. 3. To obtain a deduction,, application Form 322 ERA/RE or Form 322 ERA/VSD, Whichever is applicable, must 6e filed with the CountyAuditor by the later of.• (1) :May 70: or (2) thirty (30) days after the notice of addition to assessed valuation qr new assessment is mailed to the property owner al the address shown on the records of the foivhship assessor. 4. Property owners whose Statement of Benefits was approved after Jtrne 30, 1991, must attach a Form CF-1/Real Property annually to the application to show compliance in+ith the Statement of8enefits. fIC 6-1.1-12.1-5.i(b) and IC6-1.i-12.1-5.3(j)] 5, The schedules. established under IC 6-1.1-12.1-4(d) far rehabilitated property and under IC 6-1.1-i2.1-4. t3{1) for vacant buildings apply to any statement of benefts approved on or after Jufy 1, 2000. The schedWes efl'ectrve prior to July 1, 2000, shall continue to apply fo a statement of benefrts f+lad before r„n.~ ~nnn Name at taxpayer Waggoner Farm Development, L.P. Address of taxpayer (ntrrnber end street, city, slate. and ZlPcodeJ 227 South Main St., Ste. 300; South Bend, IN 46601 Name of contact person Telephone number Paul Phair (574) 217-4498 E-mail address pphair@holladaypr F Name of designating body Resolution number T Cit of South Bend Common Council Location of property County Joseph St OLGF lazing district number .Dylan Drive . Desuipiion of real properly improvements, redevelopment, or rehabilitation (use additlonaf sheets itnecessary) Estimated stag date {month, day, year) 157,500 square foot light:-industrial/ Jul 1, 2009 distribution facility;-:bUilt on speculation Esfunaledcompletiondate(montlr,day,year) ~`~ A ril 1 201 0 • • s ~ • '••• • •• Current number Salaries Number retained Salaries Number additional Salaries ection of applicab e T i s s -.-. . •-. NOTE: Pursuant io 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 ~ ~ Plus estimated values of proposed project 5 0 0 0 0 0 0. 0 0 Less values of any property being replaced Nel estimated values upon completion of project 5 6 9 9 0 0 0 . 0 0 ' ' Estimated solid waste converted (pounds) 11 ° Estimated hazardous te~iiverted (potirids}:-' `` ' r , ~ Other benefits ~ta `t=;tt: Z " - ~ ~, ' '~ This section not applicable r, t ':1 k `~ 1 t .. l J~~~ ., : +~ .:, ~ ~. • - a-~:. L'4? .~.~. • "~' ~ r' Ga, ,...1 i~ '4 :~- ~ `;'q pay`" I hereby c 'fy that t representations in this statement are true. Signature of author ~ sentative Tina gne~(m~oynyth, /day, year) Date/~lsl ~ Pert ~s.c ~i,// ~' V Page 1 of 2 r /