12-14-15 Agenda, Packet & Committee Meeting Notice

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. STATEMENT OF BENEFITS 20 PAY 20 I' j REAL ESTATE IMPROVEMENTS Stale Form 51767(R4!2-13) FORM SB-1 i Real Property Prescribed by the Department of Local Government Finance PRIVACY NOTICE This statement is being completed for real property that qualifies under the following Indiana Code(check one box): The cost and any specific individual's ❑ Redevelopment or rehabilitation of real estate improvements(IC 6-1.1-12,1-4) salary Information Is confidential;the ❑ Residential! distressed area(IC 6-1.1-12.1-4.1) per IC 6 1.t-1 .1ng is public rd). Y ( ) per IC 6-1.1-12.1-5.1(c)and(d). INSTRUCTIONS: 1. 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 In making its 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 property for which the person wishes to claim a deduction. 'projects"planned or committed to after July 1, 1987.and areas designated after July 1, 1987,require a STATEMENT OF BENEFITS. (IC 6-1.1-12.1) 2. Approval of the designating body(Oily Council, Town Board,County Council,etc.)must be obtained prior to initiation of the redevelopment or rehabilitation,BEFORE a deduction may be approved. 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 made or not later than thirty(30)days after the assessment notice Is mailed to the property owner if it was mailed alter April 10. lithe property owner misses the May 10 deadline in the initial year of occupation,he can apply between March 1 and May 10 of a subsequent year. 4. Property owners whose Statement of Benefits was approved after June 30, 1991,must attach a Form CF-1/Real Properly annually to the application to show compliance with the Statement of Benefits. fIC 6-1.1-12.1-5.1(b)and iC 6-1.1-12.1-5.3())). 5. The schedules established under IC 6-1.1-12.1-4(d)for rehabilitated property apply to any economic revitalization areas designated after June 30,2000, unless an alternative deduction schedule is adopted by the designating body(IC 6-1.1-12.1-17). The schedules effective prior to July 1,2000,shall continue to apply to economic revitalization areas designated before July 1,2000. SECTION 1 TAXPAYER INFORMATION Name of taxpayer Ontario Partners,LLC Address of taxpayer(number and street,city,state,and Z112 code) 227 S.Man Street,Suite 300;South Bend,Indiana 46601 Name of contact person Telephone number E-mat address Paul Phalr 574 217-4498 ( } pphair@hdladayproperties.com SECTION 2 LOCATION AND DESCRIPTION OF,PROPOSED PROJECT. Name of designating body Resolution number South Bend Common Council Location of property County DLGF taxing district number Lot 4-Portage Prairie Minor Subdivision its Description of real property improvements,redevelopment,or rehabilitation(use additional sheets If necessary) Estimated start date(month.day,year) March 1,2016 The Ontario Bulding will be the construction of a 165.000 square foot industrial building in the Ameriplex at Interstate 80/90 industrial pant. Estimated completion date(month,day,year) • October 31,2016 SECTION 3 ESTIMATE OF EMPLOYEES'AND SALARIES AS RESULT OF PROPOSED PROJECT Currant number Salaries Number retained Salaries Number additional Salaries 83 $50,000.00(Average) 83 550,000.00(Average) 15 51600 per Hour(Average) SECTION 4 ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT REAL ESTATE IMPROVEMENTS COST ASSESSED VALUE Current values 57,000 00 Plus estimated values of proposed project $7,830,000 Less values of any property being replaced so Net estimated values won completion of•ro ect 57,800,000 SECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER Estimated solid waste converted Hot Applicable(pounds) Estimated hazardous waste converted(pounds) Not Applicable " Other benefits ,, t a P'''N - 9 C015 J(•• ciry ciPil L %, ' fti D. IN SECTION 6 TAXPAYER CERTIFICATION I hereby certify that the representations in this statement are true. Signature of authorized representative �9 Tee Dale signed(month,day,year) VP- >ewe/a. a. __ /7 •/ /S Page 1 of 2