Confirming Tax Abatement - Various Overlook Court - Ullery Development, LLC

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~.~ ; APPLICATION FOR DEDUCTION FROM ASSESSED VALUATION OF STRUCTURES IN ECONOMIC REVITALIZATION AREAS :~ ~ State Form 18379 (R4/ 11.95) ~. FORM 322 ERA NSTRUC7TONS: This form is to be fled in person or by mail with the Auditor or the county in which the property is located before May 10 of the year in which addition to as- sessed valuation (or new assessment) is made, or not later than thirty (30) days alter mailing date of notice of assessment (Form 1 f) if such notice fs not given before April f0 0l that year (!C 6-1.1-12.1-5). Copy of Form 11 must be attached. . A property owner may not receive this deducfion for the same repairs or improvements for which a deduction is obtained under either IC 6-1.1-12-18 ar IC 6-1.1-12-22 (IC 6-1.1-12-6). • . A copy of the statement of bene6fs (Form SB-1) must be attached to this application: . The compliance with statement of benefits (Form CF•1) must be filed with this application and the designating body (IC 6.1.1-12.1-5.1). . A copy of the resoluton musf be attached to this application. . Please see IC 6-1.1-12.1 for hrrtherinstructions. . Taxpayer cnmp/etes Secfio~s 1, 1! and 111 below. . If property located in an economic revitalization area is also located in an allocation area as defined in IC 36-7-14-39 or IC 36-7-15.1-26, an application for the property taz deducfion may not be approved unless the Commission that designated the allocation area adopts a resolution approving the application (1C 6-f.1-12.1-2(kJ). . Except for ERA's designated before December 31, 1987, a deduction for redevelopment or rehabilitation is not authorized for the following facilities (IC 6.1.1-f2.1-3). ' a. Private or commercial golf course j. Any facility, the primary purpose of which is (a) Retail food and b. Country Gub beverage service; (b) Automobile sales or service; or (c) other c. Massage parlor retail; (unless the facility is located in an economic develop- ment- target area established under IC 6-1.1-12.1.7). d. Tennis court k. Residential, unless the faality is amulti-family facility that cont- . e. Skating /acility, including roller skating, skateboarding price skating airs at least 20 % of the units available for use by !ow and mod- /. Racquet sport facility (inducting handball or racquet ball court) erate income individuals or unless the faclity is lopted in an ec- g. Hot tub facility onomfc development target area established under IC 6-1.1-12.1-7, h. Suntan fadGty or the area is designated as a residential datressed area which i. Racetrack is required to meet c~orrdrtions as cited in 1~6-f.f-f2.1-2 (c) (1 & 2). L Package Ir'quor store (see IC 6-f.1-121- 3(e)(12)j The owner hereby applies to the County Auditor for a deduction pursuant to I.C. 6-1.1-12.1-5 beginning with the assessment date March 1,19 County St. Joseph Township Centre Taxing district South Bend -Centre Key number Name of owner Ullery Development, LLC Property address (number and sfieeC ary, state, ZIP code) 60166 U.S. 31 South, #A, South Bend, Indiana 46614 Legal description from Forrn 11 Part of the Northwest 1/4 of Sec. 30, 'Township 37 North, Range 3 E Date of Fonn 11 t Type of swcture Construction of 8 single family hares Use of structure Governing body that approved ERA designation South Bend Common Council Resolution number Date ERA designation approved (must be before March t) '. = SEGFION.U'~YF~itFIGA7t4Ct;OF;Q1tYNF~1 Q$<$EPRESENTA-FtVP ., <~: - .~:~.: ~a~~'~.~;.~~~:..,`... ..~. ~~gnaNre of owne o ese 've (t ereby cenily that the representations on this application are true) Date sig / ~ /~O Co ,4ddress (number a d street, ury, state, 1P e 60466 U.S. 31 South, #A, South Bend, Indiana 46614 ': `5~GT1Qt~Ill::?STRIfGTtIRES• ! : .. ~ "?_. ~ • - A. Rehabilitation structure 7. Assessed valuation AFTER rehabilitation $ 2. Assessed valuation BEFORE rehabilitation $ _ 3. INCREASE in assessed valuation $ a, Assessed valuation eligible for deduction $ . New structure 1. Assessed valuation $ 2. Assessed valuation eli ible for deduction $ " :.. ~ . ~ , ..`.,~. ? ~,:.:$EC~'ION! iY :;V>FfIFtCATIfNt QF:TO1fY~lS.t-liF..(OR't'R>,t5i`1wE3 A'SS>rSSQR . :.. ,. .. ..r:. ` .:..' y~,s~,.'~` :~,.,<: I verify that the above described structure was assessed and the owner was notified on with the ettective date of the assessment being March 1, 19 and that the assessed valuations in Section tli are correct. ;;;gnaNre of Township (or Trustee) Assessor Township Date CONTINUED ON THE REVERSE SIDE