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STATEMENT OF BENEFITS 2025-PAY 2026>- <br /> I $ REAL ESTATE IMPROVEMENTS <br /> State Form 51767(R7/1-21) FORM SBA/Real Property <br /> Prescribed by the Department of Local Government Finance PRIVACY NOTICE <br /> This statement is being completed for real property that qualifies under the following Indiana Code(check one box): Any information concerning the cost <br /> O Redevelopment or rehabilitation of real estate improvements(IC 6-1.1-12.1-4) of the property and specific salaries <br /> paid to individual employees by the <br /> ❑Residentially distressed area(IC 6-1.1-12.1.4.1) property owner is confidential per <br /> IC 6-1.1-12.1-5.1. <br /> INSTRUCTIONS. <br /> 1. This statement must be submitted to the body designating the Economic Revitalization Area poor to the public heanng 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 <br /> submitted to the designating body BEFORE the redevelopment or rehabilitation of real property for which the person wishes to Claim a deduction. <br /> 2. The statement of benefits form must be submitted to the designating body and the area designated an economic revitalization area before the initiation of <br /> the redevelopment or rehabilitation for which the person desires to claim a deduction. <br /> 3 To obtain a deduction,a Form 322/RE must be filed with the county auditor before May 10 in the year in which the addition to assessed valuation is <br /> made or not later than thirty(30)days after the assessment notice is mailed to the property owner if it was mailed after April 10. A property owner who <br /> failed to file a deduction application within the prescribed deadline may file an application between January 1 and May 10 of a subsequent year. <br /> 4. A property owner who files for the deduction must provide the county auditor and designating body with a Form CF-1/Real Property The Form CF-1/Real <br /> Property should be attached to the Form 322/RE when the deduction is first claimed and then updated annually for each year the deduction is applicable <br /> IC 6-1 1-12.1-5.1(b) <br /> 5. For a Form SB-1/Real Property that is approved after June 30, 2013, the designating body is required to establish an abatement schedule for each <br /> deduction allowed. For a Form SB-1/Real Property that is approved prior to July 1, 2013, the abatement schedule approved by the designating body <br /> remains in effect. IC 6-1.1-12.1-17 <br /> SECTION 1 TAXPAYER INFORMATION <br /> Name of taxpayerEdwin Residential Builders, LLC <br /> Address of taxpayer <br /> Number and Street: 2186 E. Centre Avenue city Portage State. MI ZIP, 49002 <br /> Name of contact person Telephone number E-mail address <br /> First Name. Last Name' <br /> SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT <br /> Name of designating body Resolution number <br /> Common Council of the City of South Bend <br /> Location of property 1 County DLGF taxing district number <br /> Number and Street: Multiple City.South Bend State; IN ZIP;46601 St. Joseph 026(South Bend-Portage) <br /> Description of real property improvements,redevelopment,or rehabilitation(use additional sheets if necessary) Estimated start date(month day,year) <br /> Construction of 12 single family residential units a cottage court along with 4 single family homes.Parcels: 7/15/2025 <br /> 71-08-02-476.027.000-026;71-08-02 476-028.000-026.71-08-02-476-044.000-026:71-08-02-476-045.000-026. <br /> 71-08-02-476-047 000.026:71-08-02-476-048.000-026,71-08-02-476.049 000-026:71-08-02.476.051.000-026 Estimated completion date(month,day,year) <br /> 12/31/2027 <br /> SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT <br /> Current Number Salaries Number Retained Salaries Number Additional Salaries <br /> SECTION 4 ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT <br /> REAL ESTATE IMPROVEMENTS <br /> COST ASSESSED VALUE <br /> Current values 8 0 $0 <br /> Plus estimated values of proposed project $2.496,534 $1,497,920 <br /> Less values of any property being replaced $o $o <br /> Net estimated values upon completion of project $2,496,534 $1 497.920 <br /> SECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER <br /> Estimated solid waste converted(pounds) 0Estimated hazardous waste converted(pounds) <br /> Other benefits <br /> Affordable workforce housing <br /> SECTION 6 TAXPAYER CERTIFICATION <br /> I hereby certify that the representations in this tatement are true. <br /> Signature of author zed representative Date signed(month,day,year) <br /> ,..1........... '4Pn'1 l , ZoZS <br /> Printed name of ut onzed represen Title <br /> f <br /> 1 OretQt i 4. Lc(ak( V s .t. 3'414 a 114' <br /> Page 1 of 2 <br />