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PAY FORM 322 / RE APPLICATION FOR DEDUCTION FROM ASSESSED VALUATION OF STRUCTURES IN ECONOMIC REVITALIZATION AREAS (ERA) State Form 18379 (R13 / 1-16) Prescribed by the Department of Local Government Finance SECTION I - DESCRIPTION OF PROPERTY The owner hereby applies to the County Auditor for a deduction pursuant to IC 6-1.1-12.1-5 beginning with the assessment date January 1, 20 County Name of owner Property address (number and street, city, state, and ZIP code) Type of structure Governing body that approved ERA designation Township DLGF taxing district number Key number Use of structure SECTION II - VERIFICATION OF OWNER OR REPRESENTATIVE Date signed (month, day, year) SECTION III - STRUCTURES A. Rehabilitation structure 1. Assessed valuation AFTER rehabilitation 2. Assessed valuation BEFORE rehabilitation 3. Difference in assessed valuation (Line 1 minus Line 2) 4. Assessed valuation eligible for deduction (for the increase in A/V from the rehabilitation, not including the increase in A/V from the reassessment of the entire structure) 1. Assessed valuation 2. Assessed valuation eligible for deduction B. New structure AUDITOR'S USE $ $ $ $ $ $ SECTION IV - VERIFICATION OF ASSESSING OFFICIAL I verify that the above described structure was assessed and the owner was notified on with the effective date of the assessment being January 1, 20 and that the assessed valuations in Section III are correct. Date (month, day, year) Printed name of assessing official Signature of assessing official CONTINUED ON THE REVERSE SIDE INSTRUCTIONS: 2. To obtain this 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 (or new assessment) is 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. If the property owner misses the May 10 deadline in the initial year of assessment, he can apply between March 1 and May 10 of a subsequent year for the remainder of the abatement term. (See also IC 6-1.1-12.1-11.3 concerning the failure to file a timely application.) 3. A copy of the Form 11, the approved Form SB-1 / Real Property, the resolution adopted by the designating body, and the Form CF-1 / Real Property must be attached to this application. 4. The Form CF-1 / Real Property must be updated annually and provided to the County Auditor and the designating body for each assessment year in which the deduction is applicable. 5. Please see IC 6-1.1-12.1 for further instructions. 6. Taxpayer completes Sections I, II and III below. 7. 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 tax deduction may not be approved unless the Commission that designated the allocation area adopts a resolution approving the application (IC 6-1.1-12.1-2(k)). 8. Except for deductions related to redevelopment or rehabilitation of real property in a county containing a consolidated city, a deduction for the redevelopment or rehabilitation of real property may not be approved for the following facilities (IC 6-1.1-12.1-3): a. Private or commercial golf course b. Country club c. Massage parlor d. Tennis club e. Skating facility, including roller skating, skateboarding or ice skating f. Racquet sport facility (including handball or racquet ball court) g. Hot tub facility h. Suntan facility i. Racetrack j. Any facility, the primary purpose of which is retail food and beverage service; automobile sales or service; or other retail; (unless the facility is located in an economic development-target area established under IC 6-1.1-12.1-7). k. Residential, unless the facility is a multi-family facility that contains at least 20% of the units available for use by low and moderate income individuals, or unless the facility is located in an economic development target area established under IC 6-1.1-12.1-7, or the area is designated as a residentially distressed area which is required to meet conditions as cited in IC 6-1.1-12.1-2(c)(1 & l. Package liquor store [see IC 6-1.1-12.1-3(e)(12)] Date of Form 11 (month, day, year) Legal description from Form 11 Date ERA designation approved (month, day, year) Resolution number Signature of owner or representative (I hereby certify that the representations on this application are true.) Address (number and street, city, state, and ZIP code) Printed name of owner or representative 1. This form is to be filed in person or by mail with the County Auditor of the county in which the property is located. Reset Form ---PAGE BREAK--- SECTION V - FOR AREAS EXCEPT FOR A RESIDENTIALLY DISTRESSED AREA WHERE THE STATEMENT OF BENEFITS WAS APPROVED BEFORE JULY 1, 2013 - DEDUCTION SCHEDULE PER IC 6-1.1-12.1-17 YEAR OF DEDUCTION / ASSESSED VALUE / PERCENTAGE / DEDUCTION For deductions allowed over a one year period: 1 20___ pay 20___ 100% * For deductions allowed over a three year period: SECTION VI - FOR A RESIDENTIALLY DISTRESSED AREA WHERE THE STATEMENT OF BENEFITS WAS APPROVED BEFORE JULY 1, 2013 DEDUCTION SCHEDULE PER IC 6-1.1-12.1-17 One family dwelling Two family dwelling Three unit multifamily dwelling Four unit multifamily dwelling Assessed value (after rehabilitation or redevelopment) or $74,880 AV Assessed value (after rehabilitation or redevelopment) or $106,080 AV Assessed value (after rehabilitation or redevelopment) or $156,000 AV Assessed value (after rehabilitation or redevelopment) or $199,680 AV pay through pay pay through pay pay through pay pay through pay DEDUCTION IS ALLOWED FOR A FIVE YEAR PERIOD THAT INCLUDES YEARS: DEDUCTION IS THE LESSER OF: [IC 6-1.1-12.1-4.1(b)] TYPE OF DWELLING SECTION VII - APPROVAL OF COUNTY AUDITOR (COMPLETE ONLY IF APPROVED) This application is approved in the amounts shown above. Signature of County Auditor Date signed (month, day, year) For deductions allowed over a two year period: For deductions allowed over a four year period: For deductions allowed over a five year period: For deductions allowed over a six year period: For deductions allowed over a seven year period: For deductions allowed over a eight year period: For deductions allowed over a nine year period: (10) For deductions allowed over a ten (10) year period: 1 20___ pay 20___ 100% * 2 20___ pay 20___ 50% * 1 20___ pay 20___ 100% * 2 20___ pay 20___ 75% * 3 20___ pay 20___ 50% * 4 20___ pay 20___ 25% * 1 20___ pay 20___ 100% * 2 20___ pay 20___ 66% * 3 20___ pay 20___ 33% * 1 20___ pay 20___ 100% * 2 20___ pay 20___ 80% * 3 20___ pay 20___ 60% * 4 20___ pay 20___ 40% * 5 20___ pay 20___ 20% * 1 20___ pay 20___ 100% * 2 20___ pay 20___ 85% * 3 20___ pay 20___ 66% * 4 20___ pay 20___ 50% * 5 20___ pay 20___ 34% * 6 20___ pay 20___ 17% * 1 20___ pay 20___ 100% * 2 20___ pay 20___ 85% * 3 20___ pay 20___ 71% * 4 20___ pay 20___ 57% * 5 20___ pay 20___ 43% * 6 20___ pay 20___ 29% * 7 20___ pay 20___ 14% * 1 20___ pay 20___ 100% * 2 20___ pay 20___ 88% * 3 20___ pay 20___ 75% * 4 20___ pay 20___ 63% * 5 20___ pay 20___ 50% * 6 20___ pay 20___ 38% * 7 20___ pay 20___ 25% * 8 20___ pay 20___ 13% * 1 20___ pay 20___ 100% * 2 20___ pay 20___ 88% * 3 20___ pay 20___ 77% * 4 20___ pay 20___ 66% * 5 20___ pay 20___ 55% * 6 20___ pay 20___ 44% * 7 20___ pay 20___ 33% * 8 20___ pay 20___ 22% * 9 20___ pay 20___ 11% * 1 20___ pay 20___ 100% * 2 20___ pay 20___ 95% * 3 20___ pay 20___ 80% * 4 20___ pay 20___ 65% * 5 20___ pay 20___ 50% * 6 20___ pay 20___ 40% * 7 20___ pay 20___ 30% * 8 20___ pay 20___ 20% * 9 20___ pay 20___ 10% * 10 20___ pay 20___ 5% * YEAR OF DEDUCTION / ASSESSED VALUE / PERCENTAGE / DEDUCTION Assessed value limits for taxes due and payable prior to January 1, 2005 were $36,000, $51,000, $75,000, and $96,000 for one to four family dwellings, respectively. NOTE: The deduction percentages shown in this section apply to a statement of benefits approved before July 1, 2013 that did not have an alternative deduction schedule adopted by the designating body. All other abatements shall use the percentages reflected in the abatement schedule adopted by the designating body per IC 6-1.1-12.1-17. * The amount of the deduction shall be adjusted annually to reflect changes to the assessed valuation resulting from a reassessment or an appeal of the assessment per IC 6-1.1-12.1-4(b). * Printed name of County Auditor