K-2 - City TIF Indebtedness Certification 2021

TIF INDEBTEDNESS NOT PREVIOUSLY CERTIFIED ELIGIBLE FOR TAX COLLECTIONS NEXT FISCAL YEAR City: Tiffin County: Johnson Urban Renewal Area Name: Tiffin Park Place Comercial Urban Renewal Area Urban Renewal Area Number: 52033 (Use five-digit Area Number Assigned by the County Auditor) <table> <tr> <th>Individual TIF Indebtedness Type/Description/Details:</th> <th>Date Approved*:</th> <th>Total Amount:</th> </tr> <tr> <td>1. DERS, Tiffin, LLC. Rebate for commercial development. Rebate for 80% not to exceed $12,000,000 for a period beginning December 1, 2022 and continuing for 40 semiannual payments. Rebate is for infrastructure such as various streets, water, sewer, storm sewer, sidewalks, trails, traffic signals, etc.</td> <td>6/6/2017</td> <td>12,000,000</td> </tr> </table> [X] 'X' this box if a rebate agreement. List administrative details on lines above. 2. ____________________________________________ ___________________ ________________ __________________________________________________________________________________________ [ ] 'X' this box if a rebate agreement. List administrative details on lines above. 3. ____________________________________________ ___________________ ________________ __________________________________________________________________________________________ [ ] 'X' this box if a rebate agreement. List administrative details on lines above. 4. ____________________________________________ ___________________ ________________ __________________________________________________________________________________________ [ ] 'X' this box if a rebate agreement. List administrative details on lines above. 5. ____________________________________________ ___________________ ________________ __________________________________________________________________________________________ [ ] 'X' this box if a rebate agreement. List administrative details on lines above. If more indebtedness entry lines are needed continue to Form 1.1 Page 2. Total For City TIF Form 1.1 Page 1: 12,000,000 * "Date Approved" is the date that the local governing body initially approved the TIF indebtedness.