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<br />e~~,,_, _ :'p State Farm 51764 {R ! 1-06)
<br />a` ~ PRIVACY NOTICE
<br />Prescribed by the Department of Looal Government Finance
<br />The cost and any specific individual's
<br />salary information ss confidentiaE; the
<br />balance of the filingg is public record
<br />per iC 6•i.t-i2.1-5.1 (c) and (d}.
<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 submitted
<br />to the designating body BEFORE a person installs fhe new manufacturing equipment and/or research and development equipment, and/or logistical distribution
<br />equipment and/or information technology equipment far which the person wishes to claim a deduction. Projects" planned or committed to offer July 1, 1987,
<br />and areas designated otter July 1, 1987, require a STATEMENT OF BENEFITS. (1C 6-i.1-i2.1)
<br />2. Approval of the designating body (Ci#y Council, Town Board, County Council, efa.J must be obtained prior to installation of the new manufacturing equipment
<br />and/ar research and development equipment and/or Jogisticat distribution equipment and/or information technology equipment, 6EFORE a deduction may
<br />be approved
<br />3. To obtain a deduction, a person must file a carlifred deduction schedule with the person's personal properly return on a certified deduction schedule (Form
<br />103-,ERA) with the township assessor of the township where the property is situated. The 703-ERA must be tiled between March 1 and May 15 of the
<br />assessment year in which new manufacturing equipment and/or research and development equipment and/or logistical distribution equipment and/or
<br />information feehnology equipment is installed and fully functional, unless a filing extension has been obtained. A person who obtains a lriing extension must
<br />file the form between March f and the extended due date of that year.
<br />4. Property owners whose Statement of Benefits was approved attar June 9D, 1991, must submit Form CF-1 / PP annually to show compliance with the
<br />Statement of8enehts. (!C 6-1.1-12,1-S.tiJ
<br />5. The schedules established under lC 6-i.1-12,1-4.5(dJ and (e) apply to equipment installed aft® ~~ 2 1. Far equipment installed prior to March 2,
<br />2001, the schedules and statutes in effect at the time shall continue to apply. (1C &-1.,1ri2. i-4.5(fi~~ '
<br />Name of taxpayer ~~
<br />Steel Warehouse Company LLC ~' ~ t ` ~~~~~ ~+
<br />Address of taxpayer (number and street, city, state, and Zip code}
<br />f` ")-
<br />2722 W. Tucker Drive, South Bend, IN 4669 9 ~ ~ -
<br />Name of contact person ,.•~ ~~ elephone number
<br />Richard King nr Gerald F. Lerman -~-~~""~ . ••.. ~0,~~'~; (574)23fi-Si DO
<br />Name of designating body 1 ResolutFOn number (s)
<br />,~~-` ,,.
<br />City of South Bend Common Council
<br />Location of property County DLGF taxing district number
<br />1400 W. Riverside South Bend, !N 46616 st. Joseph 71028
<br />Description of manufacturing equipment andlor research and development equipment ESTIMATED
<br />andlor logistical distribution equipment andlor information technology equipment. START DATE COMPLETION DATE
<br />(use additional sheets if necessary)
<br />Laser cutting and material handling equipment
<br />number Salaries ._. tVumberretained
<br />NOTE: Pursuant to IC t3-1.1-12.1-5.1 (d) (2) the
<br />COST of the property is confidential.
<br />COST ~ ASSESSED
<br />UALI}E
<br />Manufacturing Equipment 49/75/2014 09/15/2011
<br />R & D Equipment
<br />logist Dist Equipment
<br />IT Equipment
<br />Salaries
<br />-e•. e
<br />R 8 D EQUIPMENT
<br />COST ASSESSED
<br />VALUE
<br />Number additional
<br />LOG15T DIST
<br />EQUIPMENT
<br />COST ASSESSED
<br />l/AGl#E
<br />Sa€aries
<br />17 EQUIPMENT
<br />COST ASSESSED
<br />VALUE
<br />Current values
<br />Plus estimated values of proposed project _ c~ `
<br />less values o€ any property being replaced
<br />IVet estimated values upon completion of project ,
<br />Estimated solid waste converted (pounds) D_DD
<br />Other benefits:
<br />Estimated hazardous waste converted (pounds) D,,,,,`Dp
<br />I hereby certify that the representations in this statement are true.
<br />Signature of authorized representative Title Date signed (month, day, year)
<br />~,,,~ ~oP ,~` ,1~-~.....~,Y„~ Vice I~resident t-1 ~.~~ , ~ r z o r ~
<br />
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