HomeMy Public PortalAbout11 - 2021-11 - PREMIUM BRANDS SERVICES TAX ABATEMENTS RESOLUTION NO. 2021 - 11
COMMON COUNCIL OF THE CITY OF GREENCASTLE,INDIANA
A RESOLUTION AFFIRMING
PREMIUM BRANDS SERVICES,LLC
formerly known as ASCENA RETAIL GIIOUP, INC.
OF COMPLIANCE WITH STATEMENTS OF BENEFITS
WHEREAS, Ascena Retail Group (now known as Premium Brands) has heretofore been
granted certain tax abatements in consideration of certain benefits for the City of Greencastle;and,
WHEREAS, said company has submitted the following forms as of June 15, 2021:
CF-1/RE for tax abatement on a facility renovation granted in 2012,
CF-1/RE for tax abatement on a facility expansion granted in 2015,
CF-1/PP for tax abatement granted on equipment in 2012 and amended in 2014, &
CF-1/PP for tax abatement granted on equipment granted in 2015.
WHEREAS, the Common Council has reviewed the CF-1 forms, copies of which are
attached hereto, and has found compliance with the previously approved Statements of Benefits.
NOW THEREFORE BE IT RESOLVED that the Common Council of the City of
Greencastle, Putnam County, Indiana, approves the CF-1 forms as submitted as being in
compliance with the Statements of Benefits previously filed by Ascena Retail Group, Inc.
BE IT FURTHER RESOLVED that this Resolution be made a record and filed along with
the CF-1 forms with the Putnam County Auditor.
PASSED by the Common Council of the City of Greencastle at its regular meeting this 8th
day of July 2021.
M,.. CiNCOUNCIL OF THE CITY OF ENCAS LE, INDIANA
Adam C hen Cody E rt
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Mar Hammer Stacie gdon
David Murray ' , J rom
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Approved and signed by me this 8th day of July 2021 at 1'.0 5 p. . o'clock.
ATTE • it iam A. Dory, Jr., ayor
-a R Dunbar, Clerk- urer
RA7� COMPLIANCE WITH STATEMENT OF BENEFITS PRIVACY NOTICE FORM CF-1 /PP j
PERSONAL PROPERTY This form contains confidential
State Form 51785(Rb I 1-21) information pursuant to January1,2021
IC 6 1.1-35 9 and IC 6-1.1-12.1-5.6
° ,a ✓" Prescribed by the Department of Local Government Finance
INSTRUCTIONS: 1. Property owners whose Statement of Benefits was approved must file this form with the local Designating Body to show the extent
to which there has been compliance with the Statement of Benefits. (IC 6-1.1-12.1-5.6)
2. This form must be filed with the Form 103-ERA Schedule of Deduction from Assessed Value between January 1 and May 17,2021,
unless a filing extension under IC 6-1.1-3.7 has been granted. A person who obtains a filing extension must file between
January 1 and the extended due date of each year
3. With the approval of the designating body,compliance information for multiple projects may be consolidated on one(1)compliance(CF-1).
SECTION 1 TAXPAYER INFORMATION
Name of taxpayer County
Premium Brands Services, LLC Putnam
Address of taxpayer(number and street,city,state,and ZIP code) DLGF taxing district number
8323 Walton Pkwy, New Albany, OH 43054 67008
Name of contact person Telephone number
Kevin Mascolino ( 614 ) 775-5965
SECTION 2 LOCATION AND DESCRIPTION OF PROPERTY
Name of designating body Resolution number Estimated start date(month,day,year)
Greencastle Common Castle 2012-4 & 2012-27 1/1/2013
Location of property Actual start date(month,day,year)
1901 State Highway 240, Greencastle, IN 46135 1/1/2013
Description of new manufacturing equipment.or new research and development equipment,or new information technology Estimated completion date(month,day,year)
equipment,or new logistical distribution equipment to be acquired- 12/31/2015
New state-of-the-art distribution equipment and IT for the proposed e-commerce distribution operation in
Greencastle,IN. Actual completion date(month,day year)
12/31/2015
SECTION 3 EMPLOYEES AND SALARIES
EMPLOYEES AND SALARIES AS ESTIMATED ON SB-1 ACTUAL
Current number of employees 181 884
Salaries 5,297,074.00 29,288,990.40
Number of employees retained 181 181
Salaries 5,297,074.00 8,287,334.40
Number of additional employees 242 483
Salaries 8,114,18300 21,001,858.00
SECTION 4 COST AND VALUES
MANUFACTURING R&D EQUIPMENT LOGIST DIST IT EQUIPMENT
EQUIPMENT EQUIPMENT
AS ESTIMATED ON SB-1 COST ASSESSED ASSESSED ` ASSESSED ASSESSED
VALUE COST VALUE COST ` VALUE COST VALUE
Values before project
Plus: Values of proposed project 50,000,000.00 20.000.000.00 12,000,000,00 4,800,000.00
Less: Values of any property being replaced
Net values upon completion of project
ASSESSED ASSESSED ASSESSED ASSESSED
ACTUAL COST VALUE COST VALUE COST VALUE COST VALUE
Values before project
Plus: Values of proposed project 24,482,420.00 3,708,506.00 314,250.00 50,589.00
Less: Values of any property being replaced
Net values upon completion of project 24,482,420.00 3,708,506.00 314,250.00 50,589.00
NOTE:The COST of the property is confidential pursuant to IC 6-1.1-12.1-5.6(c).
SECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER
WASTE CONVERTED AND OTHER BENEFITS AS ESTIMATED ON SB-1 ACTUAL
Amount of solid waste converted
Amount of hazardous waste converted
Other benefits:
SECTION 6 TAXPAYER CERTIFICATION
I hereby certify that the representations in this statement are true.
Signature of authorized representative Title Date signed(month,day,year)
Via-t. o g-' I VP Corporate Tax 6/15/2021
Page 1 of 2
OPTIONAL: FOR USE BY A DESIGNATING BODY WHO ELECTS TO REVIEW THE COMPLIANCE WITH STATEMENT OF BENEFITS(FORM CF-1)
THAT WAS APPROVED AFTER JUNE 30.1991
INSTRUCTIONS: (IC 6-1.1-12.1-5.3 and IC 6-1.1-12.1-5.9)
1. Not later than forty-five(45)days after receipt of this form,the designating body may determine whether or not the property owner has substantially
complied with the Statement of Benefits(Form SB-1/Real Property).
2. If the property owner is found NOT to be in substantial compliance,the designating body shall send the property owner written notice. The notice must
include the reasons for the determination and the date,time and place of a hearing to be conducted by the designating body The date of this hearing may
not be more than thirty(30)days after the date this notice is mailed. A copy of the notice may be sent to the county auditor and the county assessor.
3. Based on the information presented at the hearing, the designating body shall determine whether or not the property owner has made reasonable efforts to
substantially comply with the Statement of Benefits(Form SB-1/Real Property)and whether any failure to substantially comply was caused by factors
beyond the control of the property owner
4. If the designating body determines that the property owner has NOT made reasonable efforts to comply,then the designating body shall adopt a resolution
terminating the property owner's deduction. If the designating body adopts such a resolution,the deduction does not apply to the next installment of
property taxes owed by the property owner or to any subsequent installment of property taxes. The designating body shall immediately mail a certified copy
of the resolution to:(1)the properly owner;(2)the county auditor.and(3)the county assessor
We have reviewed the CF-1 and find that:
❑ the property owner IS in substantial compliance
❑ the property owner IS NOT in substantial compliance
❑ other(specify)
Reasons for the determination(attach additional sheets if necessary)
Signet o tho ed meybier Date signed(month,day,year)
1
Attested - / Designating body
If the property owner is found not to be in substantial compliance,the property owner shall receive the opportunity for a hearing.The following date and
time has been set aside for the purpose of considering compliance. (Hearing must be held within thirty(30)days of the date of mailing of this notice.)
Time of hearing ❑ AM Date of hearing(month,day,year) Location of hearing
❑ PM
HEARING RESULTS(to be completed after the hearing)
❑ Approved ❑ Denied(see instruction 4 above)
Reasons for the determination(attach additional sheets if necessary)
Signature of authorized member Date signed(month,day,year)
Attested by: Designating body
APPEAL RIGHTS[IC 6-1.1-12.1-5.9(e)]
A property owner whose deduction is denied by the designating body may appeal the designating body's decision by filing a complaint in the office of the
Circuit or Superior Court together with a bond conditioned to pay the costs of the appeal if the appeal is determined against the property owner.
Page 2 of 2
` ►•:.. COMPLIANCE WITH STATEMENT OF BENEFITS PRIVACY NOTICE FORM CF-1 I PP
Pi „ PERSONAL PROPERTY This form contains confidential
�I State Form 51765(R5/1-21) information pursuant to
IC 6-1.1-35-9 and IC 6-1.1-12.1-5.6. January 1, 2021
,-,_ �' Prescribed by the Department of Local Government Finance
INSTRUCTIONS: 1. Property owners whose Statement of Benefits was approved must file this form with the local Designating Body to show the extent
to which there has been compliance with the Statement of Benefits. (IC 6-1.1-12.1-5.6)
2. This form must be filed with the Form 103-ERA Schedule of Deduction from Assessed Value between January 1 and May 17,2021,
unless a filing extension under IC 6-1.1-3.7 has been granted. A person who obtains a filing extension must file between
January 1 and the extended due date of each year
3. With the approval of the designating body,compliance information for multiple projects may be consolidated on one(1)compliance(CF-1).
SECTION 1 TAXPAYER INFORMATION
Name of taxpayer County
Premium Brands Services, LLC Putnam
Address of taxpayer(number and street,city,state,and ZIP code) DLGF taxing district number
8323 Walton Pkwy, New Albany, OH 43054 67008
Name of contact person Telephone number
Kevin Mascolino ( 614 ) 775-5965
SECTION 2 LOCATION AND DESCRIPTION OF PROPERTY
Name of designating body Resolution number Estimated start date(month,•ey.year)
Greencastle Common Castle 2015-19 1/1/2016
Location of property Actual start date(month,day year)
1901 State Highway 240, Greencastle, IN 46135 12/1/2015
Description of new manufacturing equipment,or new research and development equipment.or new information technology Estimated completion date(month,day,year)
equipment,or new logistical distribution equipment to be acquired. 6/30/2019
New state-of-the-art MHE and IT equipment to increase e-commerce fulfillment capacity.
Actual completion date(month,day,year)
12/31/2019
SECTION 3 EMPLOYEES AND SALARIES
EMPLOYEES AND SALARIES AS ESTIMATED ON SB-1 ACTUAL
Current number of employees 308 684
Salaries
11,800,000.00 29,268,990.40
Number of employees retained 308 308
Salaries 11,800,000.00 13,897,811.20
Number of additional employees 30 356
Salaries 998,400.00 15,371,179.20
SECTION 4 COST AND VALUES
MANUFACTURING R&D EQUIPMENT LOGIST DIST IT EQUIPMENT
EQUIPMENT EQUIPMENT
AS ESTIMATED ON SB-1 COST ASSESSED ASSESSED COST ASSESSED ASSESSED
VALUE COST VALUE VALUE COST VALUE
Values before project
Plus: Values of proposed project 35,000,000.00 14,000,000.00 4,500,000.00 1,800,000.00
Less: Values of any property being replaced
Net values upon completion of project
ACTUAL COST ASSESSED COST ASSESSED COST ASSESSED COST ASSESSED
VALUE VALUE VALUE VALUE
Values before project
Plus: Values of proposed project 25,270,750.00 8,454,230.00 601,590.00 400,398.00
Less: Values of any property being replaced
Net values upon completion of project 25,270,750.00 8,454,230.00 601,590.00 400,398 00
NOTE:The COST of the property is confidential pursuant to IC 6-1.1-12.1-5.6(c).
SECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER
WASTE CONVERTED AND OTHER BENEFITS _- AS ESTIMATED ON SB-1 ACTUAL
Amount of solid waste converted
Amount of hazardous waste converted
Other benefits:
SECTION 6 TAXPAYER CERTIFICATION
I hereby certify that the representations in this statement are true.
Signature of authorized representative Title
month,day year)
D si e s '&�`.' VP Corporate Tax Date signed( 6/15/2021
Page 1 of 2
OPTIONAL: FOR USE BY A DESIGNATING BODY WHO ELECTS TO REVIEW THE COMPLIANCE WITH STATEMENT OF BENEFITS(FORM CF-1)
THAT WAS APPROVED AFTER JUNE 30. 1991
INSTRUCTIONS: (IC 6-1.1-12.1-5.3 and IC 6-1.1-12.1-5.9)
1. Not later than forty-five(45)days after receipt of this form,the designating body may determine whether or not the property owner has substantially
complied with the Statement of Benefits(Form SB-1/Real Property).
2. If the property owner is found NOT to be in substantial compliance,the designating body shall send the property owner written notice. The notice must
include the reasons for the determination and the date,time and place of a hearing to be conducted by the designating body. The date of this hearing may
not be more than thirty(30)days after the date this notice is mailed. A copy of the notice may be sent to the county auditor and the county assessor
3. Based on the information presented at the hearing, the designating body shall determine whether or not the property owner has made reasonable efforts to
substantially comply with the Statement of Benefits(Form SB-1/Real Property)and whether any failure to substantially comply was caused by factors
beyond the control of the property owner.
4. If the designating body determines that the property owner has NOT made reasonable efforts to comply, then the designating body shall adopt a resolution
terminating the property owner's deduction. If the designating body adopts such a resolution, the deduction does not apply to the next installment of
property taxes owed by the property owner or to any subsequent installment of property taxes. The designating body shall immediately mail a certified copy
of the resolution to:(1)the property owner;(2)the county auditor;and(3)the county assessor.
We have reviewed the CF-1 and find that:
❑ the property owner IS in substantial compliance
❑ the property owner IS NOT in substantial compliance
❑ other(specify)
Reasons for the determination(attach additional sheets if necessary)
Signal o thoryed me rr Date
signed(month,day,year)
AAWC- /71
Attested • Designating body /1CL'4Fn;Cr�`)Elf Cr" [`
Cv.✓C(L
If the property owner is found not to be in substantial compliance,the property owner shall receive the opportunity for a hearing.The following date and
time has been set aside for the purpose of considering compliance. (Hearing must be held within thirty(30)days of the date of mailing of this notice.)
Time of hearing D AM Date of hearing(month,day,year) Location of hearing
❑ PM
HEARING RESULTS(to be completed after the hearing)
❑ Approved ❑ Denied(see instruction 4 above)
Reasons for the determination(attach additional sheets if necessary)
Signature of authorized member Date signed(month,day,year)
Attested by: Designating body
APPEAL RIGHTS[IC 6-1.1-12.1-5.9(e)]
A property owner whose deduction is denied by the designating body may appeal the designating body's decision by filing a complaint in the office of the
Circuit or Superior Court together with a bond conditioned to pay the costs of the appeal if the appeal is determined against the property owner.
Page 2 of 2
C' COMPLIANCE WITH STATEMENT OF BENEFITS zo 21 PAY 20 22
4 REAL ESTATE IMPROVEMENTS
• State Form 51766(R4/1-21) FORM CF-1 I Real Property
�. f'''" Prescribed by the Department of Local Government Finance
PRIVACY NOTICE
INSTRUCTIONS. The cost and any specific individual's
1. This form does not apply to property located in a residentially distressed area or any deduction for which the salary information is confidential;the
Statement of Benefits was approved before July 1, 1991. balance of the filing is public record
2. Property owners must file this form with the county auditor and the designating body for their review regarding per IC 6-1.1-12.1-5.3(k)and(I).
the compliance of the project with the Statement of Benefits (Form SB-1/Real Property).
3. This form must accompany the initial deduction application(Form 322/RE)that is filed with the county auditor.
4. This form must also be updated each year in which the deduction is applicable. It is filed with the county auditor
and the designating body before May 17,2021,or by the due date of the real property owner's personal property
return that is filed in the township where the property is located. (IC 6-1.1-12.1-5.30)
5. With the approval of the designating body,compliance information for multiple projects may be consolidated on
one(1)compliance form(Form CF-1/Real Property).
SECTION 1 TAXPAYER INFORMATION
Name of taxpayer County
Premium Brands Services, LLC and ANSA Propco Partnership LP Putnam
Address of taxpayer(number and street,city,state,and ZIP code) DLGF taxing district number
8323 Walton Pkwy, New Albany, OH 43054 67008
Name of contact person Telephone number
Kevin Mascolino ( 614 ) 775-5965
SECTION 2 LOCATION AND DESCRIPTION OF PROPERTY
Name of designating body Resolution number Estimated start date(month,day,year)
Greencastle Common Council 2012-4&2012-27 1/1/2013
Location of property Actual start date(month,day,year)
1901 State Highway 240, Greencastle, IN 46135
Description of real property improvements Estimated completion date(month,day,year)
Renovation of existing facility for e-commerce 12/31/2015
Actual completion date(month,day,year)
SECTION 3 EMPLOYEES AND SALARIES
EMPLOYEES AND SALARIES AS ESTIMATED ON SB-1 ACTUAL
Current number of employees 181 664
Salaries 5,297,074.00 29,288,990.40
Number of employees retained 181 181
Salaries 5,297,074.00 8,267,334.40
Number of additional employees 242 483
Salaries 8,114,103.00 21,001,658.00
SECTION 4 COST AND VALUES
COST AND VALUES REAL ESTATE IMPROVEMENTS
AS ESTIMATED ON SB-1 COST ASSESSED VALUE
Values before project
Plus: Values of proposed project 3,000,000.00
Less: Values of any property being replaced
Net values upon completion of project
ACTUAL COST ASSESSED VALUE
Values before project
Plus: Values of proposed project 3,410,051.00
Less: Values of any property being replaced
Net values upon completion of pro'ect
SECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER
WASTE CONVERTED AND OTHER BENEFITS AS ESTIMATED ON SB-1 ACTUAL
Amount of solid waste converted
Amount of hazardous waste converted
Other benefits:
SECTION 6 TAXPAYER CERTIFICATION
I hereby certify that the representations in this statement are true.
Signature of authorized representative 'Title Date signed(month.day,year)
'T7ost. ea 7 g-Lbs VP Corporate Tax 6/15/2021
Page 1 of 2
OPTIONAL: FOR USE BY A DESIGNATING BODY WHO ELECTS TO REVIEW THE COMPLIANCE WITH STATEMENT OF BENEFITS(FORM CF-1)
THAT WAS APPROVED AFTER JUNE 30, 1991
INSTRUCTIONS: (IC 6-1.1-12.1-5.3 and lC 6-1.1-12.1-5.9)
1. Not later than forty-five(45)days after receipt of this form,the designating body may determine whether or not the property owner has substantially
complied with the Statement of Benefits(Form SB-1/Real Property).
2. If the property owner is found NOT to be in substantial compliance,the designating body shall send the property owner written notice. The notice must
include the reasons for the determination and the date,time and place of a hearing to be conducted by the designating body. The date of this hearing may
not be more than thirty(30)days after the date this notice is mailed. A copy of the notice may be sent to the county auditor and the county assessor.
3. Based on the information presented at the hearing, the designating body shall determine whether or not the property owner has made reasonable efforts to
substantially comply with the Statement of Benefits(Form SB-1/Real Property)and whether any failure to substantially comply was caused by factors
beyond the control of the property owner.
4. If the designating body determines that the property owner has NOT made reasonable efforts to comply,then the designating body shall adopt a resolution
terminating the property owner's deduction. If the designating body adopts such a resolution, the deduction does not apply to the next installment of
property taxes owed by the property owner or to any subsequent installment of property taxes. The designating body shall immediately mail a certified copy
of the resolution to:(1)the property owner,(2)the county auditor,'and(3)the county assessor
We have reviewed the CF-1 and find that:
❑ the property owner IS in substantial compliance
❑ the property owner IS NOT in substantial compliance
❑ other(specify)
Reasons for the determination(attach additional sheets if necessary)
Signal o ed msner
Date signed(month,day,year)
3L �' 2G2�
Attested / Designating body
If the property owner is found not to be in substantial compliance,the property owner shall receive the opportunity for a hearing.The following date and
time has been set aside for the purpose of considering compliance. (Hearing must be held within thirty(30)days of the date of mailing of this notice.)
Time of hearing 0 AM Date of hearing(month,day,year) Location of hearing
❑ PM
HEARING RESULTS(to be completed after the hearing)
❑ Approved ❑ Denied(see instruction 4 above)
Reasons for the determination(attach additional sheets if necessary)
Signature of authorized member Date signed(month,day,year)
Attested by: Designating body
APPEAL RIGHTS[IC 6-1.1-12.1-5.9(e)]
A property owner whose deduction is denied by the designating body may appeal the designating body's decision by filing a complaint in the office of the
Circuit or Superior Court together with a bond conditioned to pay the costs of the appeal if the appeal is determined against the property owner.
Page 2 of 2
q. COMPLIANCE WITH STATEMENT OF BENEFITS 20 21 PAY 20 22
REAL ESTATE IMPROVEMENTS
State Form 51766(R4/1-21) FORM CF-1/Real Property
��;,,o I Prescribed by the Department of Local Government Finance
PRIVACY NOTICE
INSTRUCTIONS. The cost and any specific individual's
1. This form does not apply to property located in a residentially distressed area or any deduction for which the salary information is confidential;the
Statement of Benefits was approved before July 1, 1991. balance of the filing is public record
2. Property owners must file this form with the county auditor and the designating body for their review regarding per IC 6-1.1-12.1-5.3(k)and(I).
the compliance of the project with the Statement of Benefits (Form SB-1/Real Property).
3. This form must accompany the initial deduction application(Form 322/RE)that is filed with the county auditor.
4. This form must also be updated each year in which the deduction is applicable. It is filed with the county auditor
and the designating body before May 17,2021,or by the due date of the real property owner's personal property
return that is filed in the township where the property is located. (IC 6-1.1-12.1-5.3(j))
5. With the approval of the designating body,compliance information for multiple projects may be consolidated on
one(1)compliance form(Form CF-1/Real Property).
.ECTION 1 TAXPAYER INFORMATION
Name of taxpayer County
Premium Brands Services, LLC and ANSA Propco Partnership LP Putnam
Address of taxpayer(number and street,city,state,and ZIP code) DLGF taxing district number
8323 Walton Pkwy, New Albany, OH 43054 67008
Name of contact person Telephone number
Kevin Mascolino ( 614 ) 775-5965
•ECTION 2 LOCATION AND DESCRIPTION OF PROPERTY
Name of designating body Resolution number Estimated start date(month,day,year)
Greencastle Common Castle 2015-19 1/1/2016
Location of property Actual start date(month,day,year)
1901 State Highway 240, Greencastle, IN 46136 11/05/2015
Description of real property improvements Estimated completion date(month,day,year)
Addition as east end of High Bay 12/31/2018
Actual completion date(month,day,year)
.ECTION 3 EMPLOYEES AND SALARIES
EMPLOYEES AND SALARIES AS ESTIMATED ON SBA ACTUAL
Current number of employees 308 664
Salaries 11,800,000.00 29,268,990.40
Number of employees retained 308 308
Salaries 11,800,000.00 13,897,811.20
Number of additional employees 30 356
Salaries 998,400.00 15,371,179.20
.ECTION 4 COST AND VALUES
COST AND VALUES REAL ESTATE IMPROVEMENTS
AS ESTIMATED ON SBA COST ASSESSED VALUE
Values before project 4,521,700.00
Plus: Values of proposed project 5,000,000.00 1,678,600.00
Less: Values of any property being replaced
Net values upon completion of project 6,200,300.00
ACTUAL COST ASSESSED VALUE
Values before project 4,567,300.00
Plus: Values of proposed project 4,695,00000 1,700,700.00
Less: Values of any property being replaced
Net values upon completion of project 6,268,000.00
.ECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER
WASTE CONVERTED AND OTHER BENEFITS AS ESTIMATED ON SB-1 ACTUAL
Amount of solid waste converted
Amount of hazardous waste converted
Other benefits:
•ECTION 6 TAXPAYER CERTIFICATION
I hereby certify that the representations in this statement are true.
Signature of authorized representative Title Date signed(month,day,year)
nlD-KAto '/ r VP Corporate Tax 6/15/21
Page 1 of 2
OPTIONAL: FOR USE BY A DESIGNATING BODY WHO ELECTS TO REVIEW THE COMPLIANCE WITH STATEMENT OF BENEFITS(FORM CF-1)
THAT WAS APPROVED AFTER JUNE 30, 1991
INSTRUCTIONS: (lC 6-1.1-12.1-5.3 and/C 6-1.1-12.1-5.9)
1. Not later than forty-five(45)days after receipt of this form,the designating body may determine whether or not the property owner has substantially
complied with the Statement of Benefits(Form SB-1/Real Property).
2. If the property owner is found NOT to be in substantial compliance,the designating body shall send the property owner written notice. The notice must
include the reasons for the determination and the date,time and place of a hearing to be conducted by the designating body. The date of this hearing may
not be more than thirty(30)days after the date this notice is mailed. A copy of the notice may be sent to the county auditor and the county assessor.
3. Based on the information presented at the hearing, the designating body shall determine whether or not the property owner has made reasonable efforts to
substantially comply with the Statement of Benefits(Form SB-1/Real Property)and whether any failure to substantially comply was caused by factors
beyond the control of the property owner
4. If the designating body determines that the property owner has NOT made reasonable efforts to comply,then the designating body shall adopt a resolution
terminating the property owner's deduction. If the designating body adopts such a resolution, the deduction does not apply to the next installment of
property taxes owed by the property owner or to any subsequent installment of property taxes. The designating body shall immediately mail a certified copy
of the resolution to:(1)the property owner;(2)the county auditor;and(3)the county assessor.
We have reviewed the CF-1 and find that:
❑ the property owner IS in substantial compliance
❑ the property owner IS NOT in substantial compliance
❑ other(specify)
Reasons for the determination(attach additional sheets if necessary)
Signal o tho ed meager
Date signed(month,day,year)
Attested •/ 7 Designating body
yir�- t� / C. L/e Or, / t„, c L.
If the property owner is found not to be in substantial compliance,the property owner shall receive the opportunity for a hearing.The following date and
time has been set aside for the purpose of considering compliance. (Hearing must be held within thirty(30)days of the date of mailing of this notice.)
Time of hearing ❑ AM Date of hearing(month,day,year) Location of hearing
❑ PM
HEARING RESULTS(to be completed after the hearing)
❑ Approved ❑ Denied(see instruction 4 above)
Reasons for the determination(attach additional sheets if necessary)
Signature of authorized member Date signed(month,day,year)
Attested by: Designating body
APPEAL RIGHTS(IC 6-1.1-12.1-5.9(e)]
A property owner whose deduction is denied by the designating body may appeal the designating body's decision by filing a complaint in the office of the
Circuit or Superior Court together with a bond conditioned to pay the costs of the appeal if the appeal is determined against the property owner.
Page 2 of 2