HARVEY-PHOENIX-HAZEL CREST

ENTERPRISE ZONE APPLICATION

15320 Broadway

Harvey, Illinois 60426

708-210-5350 Fax 708-210-5368

This application must be completed and returned to the Zone AdministratorBEFORE any zone benefits will be granted.

PART I – PROJECT INFORMATIONDATE ______

(To be completed by Project Representative)

  1. Name of Business______Phone# ______
  2. Street Address______City______State___ Zip______
  3. Name of Proposed Business/Company(If Different From Applicant)______
  4. Address of Proposed Project______
  5. OWNER/CONTACT NAME:______PHONE # ______

7.General Description Of Proposed Project, Including Any Rehabilitation/Remodeling Of Existing Structures,New Construction, Major Paving Or New Equipment. (Use Additional Sheet If Necessary)

TYPE AND STYLE OF CONSTRUCTION ______

BUILDING SIZE ______LOT SIZE ______

TYPE OF BUSINESS ______

DESCRIBE OTHER FEATURES ______

______

8.PROJECT CLASSIFICATION

COMMERCIAL ______INDUSTRIAL ______

9.EXPECTED START DATE OF PROJECT ______

10. EXPECTED PROJECT COMPLETION DATE ______

IDENTIFICATION INFORMATION – (please complete ALL of the information)

PROPERTY TAX IDENTIFICATION NUMBER (PTIN)______

FEDERAL EMPLOYER’S IDENTIFICATION NUMBER (FEIN) ______

UNEMPLOYMENT INSURANCE NUMBER (UIN) ______

NORTH AMERICAN INDUSTRY CLASSIFICATION SYSTEM (NAICS)______

BUILDING PERMIT# AND DATE ISSUED ______

BUILDING PERMIT EXPIRATION DATE ______

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ENTERPRISE ZONE APPLICATION

15320 Broadway

Harvey, IL60426

11. ESTIMATED COST OF PROJECT (LABOR AND MATERIALS):

A. REMODELING/REHABILITATION ______B. NEW CONSTRUCTION ______

C. CAPITAL EQUIPMENT ______D. SITE (COST OR VALUE IF PRE-OWNED) ______

E. BUILDING MATERIAL ______F.TOTAL PROJECT COST ______(A+B+C+D+E)

12.NUMBER OF FULL-TIME EQUIVALENT JOBS

A. PRESENTLY AT PROJECT LOCATION ______B. RETAINED* ______

C. CREATED ** WITHIN 2 YEARS OF PROJECT COMPLETION ______

* “Retained” means the number of jobs that will remain in the zone as a result of the

new investment being made, that otherwise would be lost.

** “Created” means the number of jobs for which persons are newly hired (not transferred

in-State) or are expected to be hired within 1 year as a result of the new investment,

not including construction jobs or spin-offs that may be created.

13.DOES THIS PROJECT INVOLVE A MOVE FROM ANOTHER LOCATION?

YES ______NO ______If yes, indicate City and State ______

FROM YOUR MOST CURRENT TAX BILL

14. WHAT IS THE EQUALIZED ASSESSED VALUATION (EAV) OF EXISTING PROPERTY

LAND______

IMPROVEMENTS______

TOTAL______

______

Print Name of Project RepresentativeTitle

______

Signature of Project Representative Date

ENTERPRISE ZONE ADMINISTRATION FEE

Enclose Your Check for .5% of the Total Building Material Cost (Line 11E).

Line 11E X .005= $______($50,000 Maximum)

PLEASE MAKE CHECK PAYABLE TO:

HARVEY-PHOENIX-HAZEL CREST

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ENTERPRISE ZONE APPLICATION

15320 Broadway

Harvey, IL60426

PART II – GENERAL PROJECT INFORMATION

(To be completed by the Building Department)

Please attach a copy of the building permit

A.PROPERTY TAX IDENTIFICATION NUMBER ______

  1. BUILDING PERMIT NUMBER ______
  2. DATEBUILDING PERMIT ISSUED ______
  3. TOTAL DOLLAR VALUE OF PERMIT FEES WAIVED ______

PART III – ESTIMATED TAX ABATEMENT

(To be completed by Zone Administrator)

A.EAV OF PROPERTY PRIOR TO PROJECT START

LAND ______

IMPROVEMENTS ______

TOTAL ______

B.ESTIMATED EAV OF PROJECT IMPROVEMENT

LAND ______

IMPROVEMENTS ______

TOTAL ______

C.ESTIMATED EAV OF PROPERTYUPON COMPLETION (A+B)______

D.EAV TAX RATE CURRENTLY APPROVEDFOR ABATEMENT ______/$100

E.ESTIMATED AMOUNT OF ABATEMENTFOR PROJECT $______/FIRST YEAR

F.ESTIMATED TOTAL AMOUNT ABATEDFOR TERM OF ABATEMENT $______

PART IV – VERIFICATION OF ACTUAL ABATEMENT

(To be completed by Zone Administrator)

A.INCREASE ASSESSED VALUE OF IMPROVEMENT$ ______

B.CURRENT TOTAL TAX RATE/$100 EAV$ ______

C.DOLLAR VALUE OF TAX RATE ELIGIBLE FOR ABATEMENT$ ______

D.TOTAL AMOUNT OF TAXES ABATED IN FIRST YEAR$ ______

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