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2015 Financial Incentive <br />Application <br />Housing Tax Increment <br />Financing <br /> <br />1. PROJECT INFORMATION <br />Property Information <br /> (please print) <br />Address: _________________________________Parcel Number: 75 - _____ - _________ <br />The project will be: <br /> <br />____ Housing <br />____ Other <br /> <br /> <br />The project will be: ____Owner Occupied ____Leased Space <br />If Leased Space ____ Percent Occupied 6 months after Certificate of Occupancy <br /> <br />Total Amount of Tax Increment Requested: $ over years. <br /> City Portion: Annual $ Total $ <br /> County Portion: Annual $ Total $ <br /> ISD 728 Portion: Annual $ Total $ <br /> <br />Current Real Estate Taxes on Project Site: $ <br /> <br />Estimated Real Estate Taxes upon Completion: Phase I $ Phase II $ <br /> <br />Construction Start Date________ Construction Completion Date_________ <br /> <br />Percent of project complete on December 31, current year. ___________ <br /> <br />II. CONTACT INFORMATION <br /> <br /> <br />Public Information Notice <br />Generally, correspondence to and from Staff is considered public information. Specific data related <br />to a financial assistance request is deemed not public: Financial Information, Financial Statements, <br />Net worth Calculations, Business Plans, Income and Expense projections, Balance Sheets, Customer <br />Lists, Income Tax returns. When public financial assistance is received, only the following remains <br />not public: Business Plans, Income and Expense projections, Customer lists, Income tax returns, <br />design, market, and feasibility studies not paid for with public funds. The city does allow an <br />applicant to submit sensitive financial information directly to the City’s financial consultant, for <br />additional security. <br /> <br />Property Owner Information <br /> (please print)Name: _______________________________ E- <br />mail address: ___________________________________ <br /> <br />Address: ______________________________ _____________________ ______ <br />City of Elk River Tax Increment Financing Policy & Application- Housing <br />Amended April 8 2015 <br />Page 9 of 14 <br /> <br />