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1',Pt STATEMENT OF BENEFITS 20 15 PAY 20 16. <br /> ai:z' a <br /> ....;. <br /> aft Us VACANT BUILDING DEDUCTION <br /> State Form 55182(R/2-14) FORM SB-1 /VBD <br /> .y'-;—'✓ Prescribed by the Department of Local Government Finance <br /> n� <br /> PRIVACY NOTICE <br /> This statement is being completed for real property that qualifies as an"eligible vacant building"as defined by The cost and any specific individual's <br /> IC 6-1.1-12.1-1(17). salary information is confidential.the <br /> balance of the filing Is public record <br /> per IC 6-1.1-121.5.1(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 <br /> requires information from the applicant in making its decision about whether to designate an Economic Revitalization Area. Otherwise,this statement <br /> must be submitted to the designating body BEFORE the occupation of the eligible vacant building for which the person wishes to claim a deduction. <br /> 2. To obtain a vacant building deduction,a Form 322/VBD must be filed with the county auditor before May 10 in the year in which the property owner <br /> or his tenant occupies the vacant building or not later than thirty(30)days after the assessment notice is mailed to the property owner If it was <br /> mailed after April 10. If the property owner misses the May 10 deadline in the initial year of occupation,he can apply between March 1 and May 10 <br /> of a subsequent year. <br /> 3, A property owner who files the Form 322/VBD must provide the county auditor and the designating body with a Form CF-1NBD to show compliance <br /> with the approved Form SB-1NBD. The Form CF-1NBD must also be updated each year in which the deduction is applicable. <br /> SECTION 1 TAXPAYER INFORMATION <br /> Name of taxpayer <br /> Appletree Associates LP <br /> Address of taxpayer(number and street,city,state,and ZIP code) <br /> 2180 Hornig Road Philadelphia, PA 19116 <br /> Name of contact person Telephone number E-mail address <br /> Greg Warshaw ( 215 ) 673-0400 greg.warshaw @peigenesis.com <br /> SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT <br /> Name of designating body Resolution number <br /> City of South Bend Common Council <br /> Location of property County DIGF taxing district number <br /> 1915 Bendlx Drive South Bend IN 46628 I St.Joseph German,South Bend <br /> Description of eligible vacant building that the property owner or tenant will occupy(use additional sheets If necessary). Estimated occupancy date(month,day,year) <br /> 64,500 square foot facility including production,warehouse and office space on 4.45 acres adjacent 1/1/2016 <br /> to the South Bend Airport. This space has been vacant and for sale and/or lease since the prior Estimated date placed-in-use(month,day.year) <br /> tenant(PEI/Genesis, Inc.)moved to its new facility in 2007. <br /> SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS A RESULT OF PROPOSED PROJECT <br /> Current number Salaries Number retained Salaries Number additional Salaries <br /> SECTION ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT <br /> REAL ESTATE IMPROVEMENTS <br /> COST ASSESSED VALUE <br /> Current values <br /> Plus estimated values of proposed project <br /> Less values of any property being replaced <br /> Net estimated values upon completion of project <br /> SECTION 5 EFFORTS TO SELL OR LEASE VACANT BUILDING <br /> Described efforts by the owner or previous owner to sell,lease,or rent the building during period of vacancy: <br /> This building has been for sale and/or lease since 2007 through numerous brokers. It is currently listed with Newmark Grubb Cressy& <br /> Everett. <br /> Are <br /> Show amount for which the building was offered for sale,lease,or rent during period of vacancy. <br /> Current listing: Sale$1.5 million: Lease$1.95 PSF NNN. 1 1 1 <br /> List any other benefits resulting from the occupancy of the eligible vacant building. t rrr —9 0 <br /> Increased employment, revitalization of neighborhood ft " - 7 i <br /> i <br /> LI'r:‘.r <br /> CITY Cl ` I!it'...i. tN I <br /> SECTION 6 TAXPAYER CERTIFICATION <br /> I hereby certify that the representations in this statement are true. <br /> Signature of authonzed, resent live' 11 Title Date signed 1non(1.d,a!y,y ar) <br /> r� �Vf. CFO ti 14 15 <br /> Page 1 of 2 <br />