CITY OF LAWRENCE
APPLICATION FOR PROPERTY TAX ABATEMENT
AND/OR INDUSTRIAL REVENUE BONDS
(REVISED 12/2005)

Open the Microsoft Word Document

I. General Information

Date of Request:___________________

Name of Applicant Firm:________________________________________________

Local Address:_________________________________________________________

Telephone Number:_____________ Fax Number:______________

Email Address:___________________________


Headquarters Address:__________________________________________

Telephone Number:_________________Fax Number:______________

Email Address:______________________________



Names and Titles of local principal officers and corporate directors of the applicant:


Name:_____________________ Title:_______________________

Name:_____________________ Title:_______________________

Name:_____________________ Title:_______________________

Name:_____________________ Title:_______________________



Names and addresses of all persons or firms that will be listed as owner(s) of the property to be abated:

Name:____________________________________ Address:___________________________________

Name:____________________________________ Address:___________________________________

Name:____________________________________ Address:___________________________________

Name:____________________________________ Address:___________________________________


Provide a brief history of your company, including types of products and services provided.

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Describe in general terms the legal structure of your business. More specifically, indicate how your business is organized (i.e., corporation, partnership, etc.), state of domicile, ownership, subsidiaries or affiliates and any other information necessary to understand how you are legally organized.

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Enclose copies of the company's audited and interim financial statements for the past three years. Financial statements reviewed or compiled by an independent auditor may be submitted if there are no audited financial statements.

Enclose copies of the company's federal income tax returns for the past three years.

Attach to this application the names, locations and contacts of other governments from which you have received or applied for tax abatements and/or industrial revenue bonds if applicable

____ Check here if NOT applicable.

II. Nature of the Improvements

Location of Improvements: _________________________________________________________

Land to be purchased: _________________________________________________________

  • Sq. feet or acres:_____________
  • Value:______________

New Construction or modification:_____________________________

  • Sq. feet or acres:_____________
  • Cost: $____________________________

Identify Construction or modification:

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New Machinery and Equipment (include approximate purchase dates and estimated useful life).

Description:

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Cost: ___________________________

Is the proposed project the result of relocation from another state or county, an expansion, new company, or replacement of your existing facility? ________

Please state the reason for the establishment of the new facility or the expansion or replacement of the existing facility.

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Will the improvements be financed with Industrial Revenue Bonds? If so, what is the amount of the proposed issue and will it be non-taxable?

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What is the approximate starting and completion dates for the project? The completion date is defined as the date you will be ready to utilize the new or expanded facility and/or equipment.

Start Date: _____________________ Completion Date: _____________________

III. Proposed Use and Economic Benefit

What type of new or expanded business activity is proposed by the applicant?

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List the new products or services to be rendered. (Include details of the nature and scope of the operation of the business.)

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What percentage of the facility will be occupied by the applicant? _________________________

Does your product pose or create an environmental hazard when it is produced, destroyed, or discarded?

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Please list all new employees and proposed wages, excluding fringe benefits, by the job titles included in the Annual Wage Survey prepared by the Kansas Department of Labor, if applicable.

Full Time Employees:

CategoryJob TitleSalary Range# of New Employees# of TransfersAverage Annual SalaryDate Hired
Management      
       
Professional      
       
Technical      
       
Clerical      
       
Production/Assembly      
       

Part Time Employees:

CategoryJob TitleSalary Range# of New Employees# of TransfersAverage Annual SalaryDate Hired
Management      
       
Professional      
       
Technical      
       
Clerical      
       
Production/Assembly      
       

What are the employer's share of fringe benefits including health insurance but excluding vacation, holidays, and sick leave, as a percentage of annual salary by employee category? Also, indicate the percentage of health insurance cost paid by the employer.


CategoryFringe Benefit PercentageHealth Insurance % Paid by Employer
Management  
Professional  
Technical  
Clerical  
Production/Assembly  

Note: Percentage varies with salary level if all employees receive the same benefit package.


Briefly describe your medical, vacation, sick leave and retirement benefits. (Attach any appropriate benefit summary publications if applicable.)

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Provide a breakdown of your annual operating expenses. Indicate the percentage of total annual operation expenses that will be spent locally within Douglas County for each item.
For firms expanding their facilities and operations in Douglas County, indicate the current annual operating expenses and provide a projection for the incremental expenses after the expansion. For firms planning to newly locate in Douglas County, an accurate projection of future annual operational expenses needs to be provided.

Annual Operation Expenses1

Type of ExpenseActual2Projected Total3% Spent in Douglas Co.
 $ Amount$ AmountActual %Projected Total %
Professional Services (legal, accounting, advertising, etc.    
Business service (training, maintenance)    
Cleaning Services    
Transportation    
Office Supplies    
Material & Goods    
Other (Specify)    

Annual Operational Expenses4

Type of ExpenseActual ($ Amount)Projected Total ($ Amount)
Water & Sewer  
Sanitation  
Electricity  
Gas  
Telephone & Communication  
Insurance  
Other (specify)5  

Actual Expenses Subtotal $________________________


Please provide reasons why the property tax abatement is considered to be necessary.

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What improvements or services will need to be provided by the City or County to accommodate this improvement?

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IV. General Conditions

The following general conditions are understood and agreed to by the applicant requesting the abatement:

  • 1.The applicant must agree to and reimburse the City for the costs of any legal, financial, or administrative research and work done in reviewing the proposal, preparing other necessary legal documents, and researching the qualifications of the applicant.
  • 2. The applicant shall comply with all the requirements of the City's Economic Development Incentives and Tax Abatement Policy, found in Chapter 1, Article 21 of the Lawrence City Code, including the execution of a performance agreement if a property tax abatement is approved by the City Commission.
  • 3. The tax abatement must be approved by the State Board of Tax Appeals pursuant to applicable State law.
  • 4. The applicant agrees to provide additional information considered necessary by the Public Incentive Review Committee to make a recommendation to the City Commission on granting the property tax abatement and/or issuance of industrial revenue bonds.
  • 5. Each business receiving a tax abatement must complete an annual report by March 1 of each year covering the previous calendar year. Any business which has received a tax abatement shall pay an annual renewal fee of $250.00.
  • 6. Enclosed is the application fee of $1,000.00 payable to the City of Lawrence, Kansas.

I (we) verify that the above information and assurances made are complete and correct to the best of my (our) knowledge.

Signature:_______________________________Date:__________________________
Printed Name:____________________________Title:__________________________
 
Signature:_______________________________Date:__________________________
Printed Name:____________________________Title:__________________________