State Form 55183 Form Cf-1 / Vbd - Compliance With Statement of Benefits Vacant Building Deduction - Indiana

Form State55183 or the "Form Cf-1 / Vbd - Compliance With Statement Of Benefits Vacant Building Deduction" is a form issued by the Indiana Department of Local Government Finance.

The form was last revised in February 1, 2013 and is available for digital filing. Download an up-to-date Form State55183 in PDF-format down below or look it up on the Indiana Department of Local Government Finance Forms website.

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COMPLIANCE WITH STATEMENT OF BENEFITS
20____ PAY 20____
VACANT BUILDING DEDUCTION
FORM CF-1 / VBD
State Form 55183 (2-13)
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
Eligible vacant building (IC 6-1.1-12.1-4.8)
salary information is confidential; the
Enhanced eligible vacant building (IC 6-1.1-12.1-16)
balance of the filing is public record
per IC 6-1.1-12.1-5.1 (c) and (d).
INSTRUCTIONS:
1.
Propery owners must file this form with the county auditor and the designating body for their review regarding the
compliance of the qualifying property with the Statement of Benefits (Form SB-1/VBD).
This form must accompany the initial deduction application (Form 322/VBD) that is filed with the county auditor.
2.
This form must also be updated each year in which the deduction is applicable. It is filed with the county auditor and
3.
the designating body before May 15, 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 6-1.1-12.1-5.1(b))
SECTION 1
TAXPAYER INFORMATION
Name of taxpayer
County
Address of taxpayer (number and street, city, state, and ZIP code)
DLGF taxing district number
Name of contact person
Telephone number
(
)
SECTION 2
LOCATION AND DESCRIPTION OF PROPERTY
Name of designating body
Resolution number
Estimated occupancy date (month, day, year)
Location of property
Actual occupancy date (month, day, year)
Description of eligible vacant building that the property owner or tenant will occupy
Estimated date placed-in-use (month, day, year)
Actual date placed-in-use (month, day, year)
SECTION 3
EMPLOYEES AND SALARIES
EMPLOYEES AND SALARIES
AS ESTIMATED ON SB-1
ACTUAL
Current number of employees
Salaries
Number of employees retained
Salaries
Number of additional employees
Salaries
SECTION 4
COST AND VALUES
REAL ESTATE IMPROVEMENTS
COST AND VALUES
AS ESTIMATED ON SB-1
COST
ASSESSED VALUE
Values before project
Plus: Values of proposed project
Less: Values of any property being replaced
Net values upon completion of project
ACTUAL
ASSESSED VALUE
COST
Values before project
Plus: Values of proposed project
Less: Values of any property being replaced
Net values upon completion of project
SECTION 5
UPDATES TO THE ANSWERS PROVIDED IN SECTION 5 OF THE FORM SB-1/VBD, IF ANY
(Attach additional sheet(s) if necessary.)
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)
Page 1 of 2
Reset Form
COMPLIANCE WITH STATEMENT OF BENEFITS
20____ PAY 20____
VACANT BUILDING DEDUCTION
FORM CF-1 / VBD
State Form 55183 (2-13)
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
Eligible vacant building (IC 6-1.1-12.1-4.8)
salary information is confidential; the
Enhanced eligible vacant building (IC 6-1.1-12.1-16)
balance of the filing is public record
per IC 6-1.1-12.1-5.1 (c) and (d).
INSTRUCTIONS:
1.
Propery owners must file this form with the county auditor and the designating body for their review regarding the
compliance of the qualifying property with the Statement of Benefits (Form SB-1/VBD).
This form must accompany the initial deduction application (Form 322/VBD) that is filed with the county auditor.
2.
This form must also be updated each year in which the deduction is applicable. It is filed with the county auditor and
3.
the designating body before May 15, 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 6-1.1-12.1-5.1(b))
SECTION 1
TAXPAYER INFORMATION
Name of taxpayer
County
Address of taxpayer (number and street, city, state, and ZIP code)
DLGF taxing district number
Name of contact person
Telephone number
(
)
SECTION 2
LOCATION AND DESCRIPTION OF PROPERTY
Name of designating body
Resolution number
Estimated occupancy date (month, day, year)
Location of property
Actual occupancy date (month, day, year)
Description of eligible vacant building that the property owner or tenant will occupy
Estimated date placed-in-use (month, day, year)
Actual date placed-in-use (month, day, year)
SECTION 3
EMPLOYEES AND SALARIES
EMPLOYEES AND SALARIES
AS ESTIMATED ON SB-1
ACTUAL
Current number of employees
Salaries
Number of employees retained
Salaries
Number of additional employees
Salaries
SECTION 4
COST AND VALUES
REAL ESTATE IMPROVEMENTS
COST AND VALUES
AS ESTIMATED ON SB-1
COST
ASSESSED VALUE
Values before project
Plus: Values of proposed project
Less: Values of any property being replaced
Net values upon completion of project
ACTUAL
ASSESSED VALUE
COST
Values before project
Plus: Values of proposed project
Less: Values of any property being replaced
Net values upon completion of project
SECTION 5
UPDATES TO THE ANSWERS PROVIDED IN SECTION 5 OF THE FORM SB-1/VBD, IF ANY
(Attach additional sheet(s) if necessary.)
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)
Page 1 of 2
OPTIONAL: FOR USE BY A DESIGNATING BODY WHO ELECTS TO REVIEW THE COMPLIANCE WITH THE FORM SB-1/VBD
INSTRUCTIONS: (IC 6-1.1-12.1-5.1 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/VBD).
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
2.
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.
Based on the information presented at the hearing, the designating body shall determine whether or not the property owner has made reasonable efforts to
3.
substantially comply with the Statement of Benefits (Form SB-1/VBD) 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):
Signature of authorized member
Date signed (month, day, year)
Attested by:
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
Date of hearing (month, day, year)
Location of hearing
AM
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

Download State Form 55183 Form Cf-1 / Vbd - Compliance With Statement of Benefits Vacant Building Deduction - Indiana

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