EDPA Rebate Application FormEDPA RebateStep 1 of 911%This application is a part of the Economic Development Project Area Rebate process. Incomplete or inaccurate information may be cause for rejection of the application. It also is a representation that the applicant intends to implement the representations made in the application. Failure to implement these representations or to continue them during the term of any rebate that is offered will be sufficient basis for termination of the Rebate Agreement and repayment of any taxes that have been rebated. *Upon successful completion of the tax rebate process, the applicant will be required to join the GEDC for the term of the rebate and one subsequent period equal to the term of the rebate. Investment will be based on the type and size of the project.Business Contact InformationName of CompanyCorporate Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*FaxCompany Contact Person First Last Email Website Proposed Location in Grundy CountyBusiness Site InformationPin #Proposed Location in Grundy County Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Proposed start of ConstructionMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Proposed start of OperationsMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920What product, service, or activity is planned for this facility?Will this be an owner-occupied site? Yes NoIf leasing, what is the lease term (years)?EmploymentWhat specific jobs will be created? Job Title Job TypeActions EditDelete There are no Jobs. Add Job Maximum number of jobs reached. If stepped employment is planned please provide detailsExplanation and details of work forceEmployee BenefitsPlease summarize benefits below and attach copies of insurance and pension plans. Fringe BenefitActions EditDelete There are no Benefits. Add Benefit Maximum number of benefits reached. Insurance and Pension Plan Documents Drop files here or Select filesMax. file size: 250 MB.Valuation AnalysisLand sizeBuilding sizeBuilding heightType of constructionCapacity (if relevant eg. wattage, barrels per day)Is the property one of the following? New facility Expansion of an existing factility Previously closed facilityThe current assessed valuation of the property:LandImprovementsTotalWhat is the estimated cost of the completed facilities?Cost of land and site developmentCost of buildingsCost of permanent fixed equipmentCost of pollution control devicesCost of non-fixed equipmentCost of installation/constructionTotal costEnvironmental ImpactWill there be any pollution of air, water, soil, sound, etc.? Yes NoPlease describe in more detail why you answered yes.Will hazardous chemicals, products, or waste be used or produced? Yes NoPlease specify and indicate how they will be managed.If an E.P.A. permit is necessary, please upload the permit, or if not yet received, upload a copy of the application. Drop files here or Select filesMax. file size: 250 MB.Will any waivers or exceptions from either Federal or State E.P.A. be needed? Yes NoPlease specify and attach any E.P.A. phase reports.Appropriate LocationWhat is the legal description of the proposed facility?Basis for IncentivePlease provide a brief description of how the requested incentive will help spur the proposed development project in Grundy County.(e.g., “But for this incentive, this project would not be feasible for the following reasons.”)Signer's Full NameNote: Upon successful completion of the tax rebate process, the applicant will be required to join the GEDC for the term of the rebate and one subsequent period equal to the term of the rebate. Investment will be based on the type and size of the project.I, , certify that I am an official of the applicant business with authority to make application for a property tax rebate, that I have read this application and that the application and any attachments hereto are true and correct. I further understand that inaccurate information or misrepresentations may be cause for rejection of the application: I further understand that failure to implement these representations will be sufficient basis for termination of the rebate agreement and repayment of any taxes which have been rebated. Upon successful completion of the tax rebate process, the applicant will be required to join the GEDC for the term of the rebate and one subsequent period equal to the term of the rebate. Investment will be based on the type and size of the project.SignatureDateTitle
