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HomeMy WebLinkAbout#4057 Economic Incentive Agreement CITY OF CANTON COUNTY OF FULTON STATE OF ILLINOIS ORDINANCE NO. cio 7 AN ORDINANCE APPROVING AND AUTHORIZING THE EXECUTION OF AN ECONOMIC INCENTIVE AGREEMENT by and between THE CITY OF CANTON, FULTON COUNTY, ILLINOIS and RP LUMBER CO. INC. ADOPTED BY THE MAYOR AND CITY COUNCIL OF THE CITY OF CANTON, FULTON COUNTY, ILLINOIS ON THE 3rd DAY OF JANUARY, 2017. ORDINANCE NO, yU 5 7 CITY OF CANTON, ILLINOIS AN ORDINANCE APPROVING AND AUTHORIZING THE EXECUTION OF AN ECONOMIC INCENTIVE AGREEMENT by and between THE CITY OF CANTON, FULTON COUNTY, ILLINOIS and RP LUMBER CO. INC. PREAMBLE WHEREAS, pursuant to Illinois Statute 65 ILCS 5/8-11-20 et seq., as amended (the "Act"), the City of Canton (the "City") has the authority to provide incentives to developers to promote the development or redevelopment of land; and WHEREAS, pursuant to 65 ILCS 5/8-1-2.5, a municipality may appropriate and expend funds for economic development purposes, including, without limitation, for commercial enterprises that are deemed necessary or desirable for the promotion of economic development within the community;and ee {a,rct. i�►+4 etleieJ p.sfy 444, C *Nto/t c4'4 1 WHEREAS, RP Lumber Co. Inc. (the "Developer") 446 property known as the `�' former K-Mart Building located in the City (the "Property") that is in need of development ,j ZS I I LI and/or redevelopment and is proceeding with plans to construct and operate a lumber yard and home improvement store located thereon (the "Project"); and WHEREAS, the Developer's proposed Project is consistent with the land uses of the City as adopted and the Developer requested that incentives for the development be provided by the City and that such incentives include the reimbursement of Sales Tax;and WHEREAS, the City Council has determined that the Economic Incentive Agreement attached hereto as Exhibit "A"(the "Agreement") is in the best interest of the citizens of the City of Canton; and WHEREAS, the City Council makes the following findings as required by the Act: 1) That the Property subject to the Agreement is currently vacant and has remained vacant and underutilized for at least one (1) year; 2) That the Project is expected to create or retain job opportunities within the City; 3) That the Project will serve to further the development of adjacent areas; 4) That without the Agreement, the Project would not be possible; 5) That the Developer meets high standards of creditworthiness and financial strength as demonstrated by specific evidence of equity financing for not less than 10% of the total project costs; 6) That the Project will strengthen the commercial sector of the City; 7) That the Project will enhance the tax base of the City;and 8) That the Agreement is made in the best interest of the City. THEREFORE, BE IT ORDAINED BY THE MAYOR AND CITY COUNCIL OF THE CITY OF CANTON, AN ILLINOIS MUNICIPALITY, THAT: 1. The Economic Incentive Agreement hereto attached as Exhibit `A" by and between the City of Canton, Fulton County, Illinois (the "City") and RP Lumber Co. Inc. (the"Developer") is hereby approved. 2. The Mayor is hereby authorized and directed to enter into and execute on behalf of the City said Economic Incentive Agreement and the City Clerk of the City of Canton is hereby authorized and directed to attest such execution. 3. The Economic Incentive Agreement shall be effective the date of its approval on January 3, 2017. 4. This Ordinance shall be in full force and effect from and after its passage and approval as required by law. [Remainder of this page intentionally left blank] PASSED, APPROVED, AND ADOPTED by the Mayor and City Council of the City of Canton on this 311 day of January,2017. CORPORATE AUTHORITIES AYE VOTE NAY VOTE ABSTAIN/ABSENT Ryan Mayhew X Tad Putrich X Craig West X Gerald Ellis X Justin Nelson X ABSENT John Lovell X Angela Hale X Jeff Fritz,Mayor TOTAL VOTES: 6 0 1 APPROVED: ,2017 Mayor ATTEST: ATTACHMENTS: Exhibit Exhibit A — Economic Incentive Agreement by and between the City of Canton and RP Lumber Co.Inc. EXHIBIT A ECONOMIC INCENTIVE AGREEMENT by and between THE CITY OF CANTON and RP LUMBER CO. INC. ECONOMIC INCENTIVE AGREEMENT by and between CITY OF CANTON and RP LUMBER CO. INC. JANUARY 3, 2017 ORDINANCE NO. ler CITY OF CANTON, ILLINOIS AN ORDINANCE APPROVING AND AUTHORIZING THE EXECUTION OF AN ECONOMIC INCENTIVE AGREEMENT by and between THE CITY OF CANTON, FULTON COUNTY, ILLINOIS and RP LUMBER CO. INC. PREAMBLE WHEREAS,pursuant to Illinois Statute 65 ILCS 5/8-11-20 et seq., as amended (the "Act"), the City of Canton (the "City") has the authority to provide incentives to developers to promote the development or redevelopment of land; and WHEREAS, pursuant to 65 ILCS 5/8-1-2.5, a municipality may appropriate and expend funds for economic development purposes, including, without limitation, for commercial enterprises that are deemed necessary or desirable for the promotion of economic development within the community;and if Oleg alriKa et Ivied 144> yK.� GONAth 004/41 WHEREAS, RP Lumber Co. Inc. (the "Developer") pile property known as the /L � former K-Mart Building located in the City (the "Property") that is in need of development and/or redevelopment and is proceeding with plans to construct and operate a lumber yard G/ � and home improvement store located thereon (the "Project"); and WHEREAS, the Developer's proposed Project is consistent with the land uses of the City as adopted and the Developer requested that incentives for the development be provided by the City and that such incentives include the reimbursement of Sales Tax;and WHEREAS, the City Council has determined that the Economic Incentive Agreement attached hereto as Exhibit `A"(the "Agreement") is in the best interest of the citizens of the City of Canton; and WHEREAS, the City Council makes the following findings as required by the Act: 1) That the Property subject to the Agreement is currently vacant and has remained vacant and underutilized for at least one (1) year; 2) That the Project is expected to create or retain job opportunities within the City; 3) That the Project will serve to further the development of adjacent areas; 4) That without the Agreement, the Project would not be possible; AGREEMENTS NOW,THEREFORE, for good and valuable consideration, the receipt of which is acknowledged, the Parties agree as follows: A. PRELIMINARY STATEMENTS 1, The Parties agree that the matters set forth in the recitals above are true and correct and form a part of this Agreement, and are to be construed as binding statements of this Agreement. 2. Any terms which are not defined in this Agreement shall have the same meaning as they do in the Act,unless indicated to the contrary. 3. For the purpose of this Agreement, "Municipal Sales Tax Revenues" shall be defined as the City's base municipal rate (which is currently One Percent (1%) of all retail sales) of Retailer's Occupation Tax (35 ILCS 120/1 et seq.), Service Occupation Tax (35 ILCS 115/1 et seg.), Use Tax (35 ILCS 105/1 et seq.) and Service Use Tax (35 ILCS 110/1 et seq.). For the purpose of this Agreement, "Municipal Sales Tax Revenues" exclude any Home Rule Municipal Retailer's Occupation Tax (65 ILCS 5/8-11-1), Home Rule Municipal Service Occupation Tax (65 ILCS 5/11-8-5), County School Facility Occupation Tax (55 ILCS 5/5- 1006.7) or any other future enacted increases or add-ons to municipal sales taxes. 4. For the purpose of this Agreement, "Reimbursement Obligation Period" shall be defined as the ten (10) year period beginning on the first date the Developer's Project is complete and open to the public for retail sales. 5. The Developer agrees to complete the Project on or before December 31, 2018 subject to exception of Force Majeure (defined below). For the purpose of this Agreement, the Developer's Project will be deemed complete when the lumber yard and home improvement store located on the property are complete and open for retail sales to the public. 6. Each of the Parties represents that it has taken all actions necessary to authorize its representatives to execute this Agreement. B. INCENTIVES In consideration for the Developer completing its Project, the City agrees to extend to the Developer the following incentives to assist the Developer's Project: 1. The City shall reimburse the Developer for its costs of completing the Project Forty-Five Percent (45%) of the Municipal Sales Tax Revenues generated by the Project located on the Property for the term of the Reimbursement Obligation Period, or until the Developer has received an amount not to exceed One Hundred Ninety-Five Thousand Dollars ($195,000.00),whichever occurs first. C. LIMITATION OF INCENTIVES TO DEVELOPER 1. The Developer shall be reimbursed by the City, subject to the limitations of Section B above, 2 • from Municipal Sales Tax Revenues generated by the Project on the Property, but only for the term of the Reimbursement Obligation Period, or until the Developer has been reimbursed an amount not to exceed One Hundred Ninety-Five Thousand Dollars ($195,000.00),whichever occurs first. D. OBLIGATIONS AND RESPONSIBILITIES OF DEVELOPER 1) The Developer shall develop a building suitable for use as a lumber yard and home improvement store located on the Property. Failure of the Developer to complete such a building will result in the denial of the reimbursements to be made hereunder. 2) The failure of the Developer to provide any information reasonably required herein after notice from the City, and the continued failure to provide such information within 30 days to the City after such notice shall be considered a material breach of this Agreement and shall be cause for the City to deny payments hereunder to the Developer, which payments are conditional upon receipt of the forgoing information. 3) The Developer agrees to execute any and all documents necessary to effectuate the provisions of this Agreement. E. LIMITED OBLIGATION OF CITY The city's obligation hereunder to reimburse the Developer as stated herein, is a limited obligation. Said obligation does not now and shall never constitute an indebtedness of the City within the meaning of any State of Illinois constitutional or statutory provision, and shall not constitute or give rise to a pecuniary liability of the City or a charge or lien against any City fund nor obligate the City to utilize its taxing authority to fulfill the terms of this Agreement. F. LIMITED LIABILITY OF CITY TO OTHERS FOR DEVELOPER'S EXPENSES There shall be no obligation by the City to make any payments to any person other than the Developer (or its permitted assignee pursuant to Section 1), nor shall the City be obligated to make payments to any contractor, subcontractor, mechanic or materialman providing services or materials to the Developer for the Project. G. DEFAULT; CURE; REMEDIES In the event of a default under this Agreement by any Party hereto (the "Defaulting Party"), which default is not cured within the cure period provided for below, then the other Party (the "Non- defaulting Party") shall have an action for damages, or in the event damages would not fairly compensate the Non-defaulting Party's for the Defaulting Party's breach of this Agreement, the Non-defaulting Party shall have such other equity rights and remedies as are available to them at law or in equity. Any damages payable by the City hereunder shall be limited to the Municipal Sales Tax Revenues payable under the terms of this Agreement. In the event a Defaulting Party shall fail to perform a monetary covenant which it is required to perform under this Agreement, it shall not be deemed to he in default under this Agreement unless it shall have failed to perform such monetary covenant within thirty (30) days of its receipt of a notice from a Non-defaulting Party specifying that it has failed to perform such monetary covenant. 3 In the event a Defaulting Party fails to perform any non-monetary covenant as and when it is required to under this Agreement, it shall not be deemed to be in default if it shall have cured such default within thirty (30) days of its receipt of a notice from a Non-defaulting Party specifying the nature of the default, provided, however,with respect to those non-monetary defaults which are not capable of being cured within such thirty (30) day period, it shall not be deemed to be in default if it commences curing within such thirty (30) days period, and thereafter diligently and continuously prosecutes the cure of such default until the same has been cured. H. TIME; FORCE MAJEURE For this Agreement, time is of the essence. The Developer agrees to complete the Project on or before December 31, 2018, subject to extension do to Force Majeure (defined below). Failure to do so shall be cause for the City to declare the Developer in default and unilaterally terminate the Agreement after notice and the opportunity to cure as provided in Section G. However, the Developer and the City shall not be deemed in default with respect to any obligations of this Agreement on its part to be performed if the Developer or the City fails to timely perform the same and such failure is due in whole, or in part, to any strike, lock-out, labor trouble (whether legal or illegal), civil disorder, inability to procure materials, weather conditions, wet soil conditions, failure or interruptions of power, restrictive governmental laws and regulations, condemnation, riots, insurrections, war, fuel shortages, accidents, casualties, Acts of God or any other cause beyond the reasonable control of the Developer or the City. I.ASSIGNMENT The rights (including, but not limited to, the right to payments contemplated by Section B of this Agreement) and obligations (or either of them) of the Developer under this Agreement shall be fully assignable by the Developer provided written notice is provided to the City and the City's consent is obtained prior to such assignment. The City's consent shall not be unreasonably withheld provided that the nature of the Project is not substantially changed and provided that the assignee is financially capable of fulfilling the obligations of the assignor. Further, no such assignment shall be deemed to release the assignor of its obligations to the City under this Agreement unless the consent of the City to the release of the assignor's obligations is first obtained. J. WAIVER Any Party to this Agreement may elect to waive any remedy it may enjoy hereunder, provided that no such waiver shall be deemed to exist unless the Party waiving such right of remedy does so in writing. No such waiver shall obligate such Party to waive any right of remedy hereunder, or shall be deemed to constitute a waiver of other rights and remedies provided said Party pursuant to this Agreement. K. SEVERABILITY If any section, subsection, term or provision of this Agreement or the application thereof to any Party or circumstance shall, to any extent, be invalid or unenforceable, the remainder of said section, subsection, term or provision of this Agreement or the application of same to parties or circumstances other than those to which it is held invalid or unenforceable, shall not be affected thereby. 4 L. NOTICES All notices, demands, requests, consents, approvals or other instruments required or permitted by this Agreement shall be in writing and shall be executed by the Party or an officer, agent or attorney of the Party, and shall be deemed to have been effective as of (i) the date of actual delivery, if delivered personally, or (ii) as of the third (3'd) day from and including the date of posting, if mailed by registered or certified mail,return receipt requested,with postage prepaid or (iii) the next business day if sent overnight delivery using a nationally recognized delivery service,addressed as follows: To Developer. To City: RP Lumber Co.,Inc. City Clerk Attn:Jason Plummer,Vice President City of Canton 514 E.Vandalia St 2 N.Main Street Edwardsville,IL 62025 Canton,Illinois 61520 Phone: (618) 655-7978 Fax: (618) 655-7988 With Copy to: Jacob&Klein,Ltd. The Economic Development Group,Ltd. 1701 Clearwater Avenue Bloomington,Illinois 61704 M. SUCCESSORS IN INTEREST Subject to the provisions of Section I above, this Agreement shall be binding upon and inure to the benefit of the Parties hereto and their respective successors and assigns. N. NO JOINT VENTURE,AGENCY, OR PARTNERSHIP CREATED Neither anything in this Agreement nor any acts of the Parties to this Agreement shall be construed by the Parties or any third person to create the relationship of a partnership, agency, or joint venture between or among such Parties. O. SALES TAX REBATE QUALIFICATIONS The City enters into this Agreement having made the following findings: 1. The Property subject to the Agreement is currently vacant and: a.) That the Property has remained vacant and underutilized for at least one (1) year; 2. That the Project is expected to create or retain job opportunities within the municipality; 3. That the Project will serve to further the development of adjacent areas; 4. That without the Agreement, the Project would not be possible; 5 5. That the Developer meets high standards of creditworthiness and financial strength as demonstrated by specific evidence of equity financing for the Project for not less than 10% of the total project costs (see "Developer's Affidavit" attached hereto as Exhibit `A' ; 6. That the Project will strengthen the commercial sector of the municipality; 7. That the Project will enhance the tax base of the municipality;and 8. That the Agreement is made in the best interest of the municipality. P. SPECIFIC SALES TAX REIMBURSEMENT PROVISIONS 1. Payments to Developer. All reimbursements to the Developer for its Project costs to be made by the City from Municipal Sales Tax Revenues (as defined herein) pursuant to this Agreement shall be payable only from Municipal Sales Tax Revenues that are generated by the business located on the Property. The City may, in its sole discretion, elect to pay any Municipal Sales Tax Revenues calculated to be paid under this Agreement from any other source of City revenues, but shall not be obligated to do so. All Municipal Sales Tax Revenues remitted pursuant to this Agreement are for the purpose of inducing the Developer to develop the Property and are not for any goods or services provided by the Developer. Funds which are available for reimbursement to the Developer for its Project costs as set forth herein shall be conditioned upon the following: (a) The Developer, or any of its successors or assignees, shall provide such information as is necessary to verify Municipal Sales Tax Revenues generated by the Property. The Developer agrees to provide, or cause any of its Tenants of the Property to provide PTA.X 1002-21, Authorization to Release Sales Tax Information to Local Governments(Exhibit `B' or a successor form to the City to enable it to obtain from the Illinois Department of Revenue (the "Department") verification of retail sales generated on the Property by any Taxpayer located thereon during the Term of this Agreement. "Taxpayers" are defined as parties who are required to file Department Form ST-1 Sales and Use Tax Returns, or comparable tax returns which may be substituted therefore with the State of Illinois. In the event that the Developer is unable to arrange for the Department to report such information to the City, the Developer and any Taxpayer located on the Property shall maintain and have available for inspection by the City upon request: copies of the forms submitted to the State with any non-applicable information redacted, if the Developer so desires. Additionally, the Developer and any owner of all or any part of the Property shall maintain and have'available or cause to be maintained and available for inspection by the City copies of any and all sales tax returns, sales tax reports, amendments, proof of payment or any other sales tax information filed with the State of Illinois or other appropriate governmental entity, which documents are being held available for the City for purposes of identifying Municipal Sales Tax Revenues collected pursuant to this Agreement. Any Municipal Sales Tax Revenues generated by businesses located on the Property 6 that are unable to be verified under this section shall not be used to calculate reimbursements owed to the Developer pursuant to Section 13 above. (b) To the extent permitted by law, the City shall endeavor to maintain the confidentiality of the information provided to it, but shall be permitted to disclose such information and documents to employees and consultants of the City in order to monitor compliance and audit this Agreeemnt provided that such employees and consultants also agree to maintain such confidentiality. The Developer understands and agrees that the provisions of this Agreement will be a matter of public record as will any and all payments to the Developer pursuant to this Agreement. (c) Any payments determined to be due under this Section shall be reduced by the amount of any and all collection fees imposed upon the City by the State of Illinois or the Illinois Department of Revenue for collection of the Municipal Sales Tax Revenues. Payment shall be accompanied by a statement executed by the •City Treasurer or other appropriate official or officer, setting forth the calculation of such payment. Any reimbursements calculated to be paid hereunder shall be made within 30 days of receipt of Municipal Sales Tax Revenues from the State of Illinois by the City. (d) The Developer shall have unrestricted use of all payments of Municipal Sales Tax Revenues it receives from the City provided that all payments must be used for improvements to or reimbursement of improvements to the Property. Q. LIMITATIONS OF LIABILITY As it relates to this Agreement, no recourse under or upon any obligation, covenant or agreement of this Agreement or for any claim based thereon or otherwise in respect thereof shall be had against the City, its officers, agents and employees, in excess of any specific sum agreed by the City to be paid to Developer, hereunder, subject to the terms and conditions herein, and no liability, right or claim at law or in equity shall attach to or shall be incurred by its officers, agents and employees in excess of such amounts, and all and any such rights or claims of Developer against the City, its officers, agents and employees are hereby expressly waived and released as a condition of and as consideration for the execution of this Agreement by the City. R. ENTIRE AGREEMENT The terms and conditions set forth in this Agreement and exhibits attached hereto supersede all prior oral and written understandings and constitute the entire agreement between the City and the Developer with respect to the subject matter hereof. S. WARRANTY OF SIGNATORIES The signatories of Developer warrant full authority to both execute this Agreement and to bind the entity in which they are signing on behalf of. T. TERM OF THE AGREEMENT Notwithstanding anything in this Agreement to the contrary, this Agreement shall expire on 7 December 31, 2018, or upon the Developer receiving all the reimbursement provided for herein. The Agreement shall expire sooner upon default by the Developer of this Agreement after applicable notice and cure periods. U. ILLINOIS PREVAILING WAGE ACT It is the understanding of the Parties that the position of the Illinois Department of Labor is that the Illinois Prevailing Wage Act does not apply to Sales Tax Reimbursements received by private developers as reimbursement for private redevelopment project costs. This position of the Department of Labor is stated as an answer to a FAQ on its website at: http://www.illinois.gov/idol/FAQs/Pages/prevailing-wage-faq.aspx. The Developer shall indemnify and hold harmless the City, and all City elected or appointed officials, officers, employees, agents, representatives, engineers, consultants and attorneys (collectively, the "indemnified Parties"), from any and all claims that may be asserted against the Indemnified Parties or one or more of them, in connection with the applicability, determination, and/or payments made under the Illinois Prevailing Wage Act (820 ILCS 130/0.01 et.seq.), the Illinois Procurement Code, and/or any similar State or Federal law or regulation. This obligation to indemnify and hold harmless obligates Developer to defend any such claim and/or action, pay any liabilities and/or penalties imposed, and pay all defense costs of City, including but not limited to the reasonable attorney fees of City. Failure to comply with any of these requirements may cause all benefits hereunder to be terminated by the City. IN WITNESS WHEREOF the Parties hereto have caused this Agreement to be executed by their duly authorized officers on the above date at the City of Canton,Illinois. CITY OF CANTON, ILLINOIS /� DEVELOPER: By:< t*. RP Lumber Co., Inc. Mayor ATTEST: / By: / .L. s //r_ Name: City; er MirW Title: 8 December 31, 2018, or upon the Developer receiving all the reimbursement provided for herein. The Agreement shall expire sooner upon default by the Developer of this Agreement after applicable notice and cure periods. U. ILLINOIS PREVAILING WAGE ACT It is the understanding of the Parties that the position of the Illinois Department of Labor is that the Illinois Prevailing Wage Act does not apply to Sales Tax Reimbursements received by private developers as reimbursement for private redevelopment project costs. This position of the Department of Labor is stated as an answer to a FAQ on its website at: ht www.illinois.gov/idol/l'A Qs/Pares/p revailing-wage-laq,aspx The Developer shall indemnify and hold harmless the City, and all City elected or appointed officials, officers, employees, agents, representatives, engineers, consultants and attorneys (collectively, the "indemnified Parties"), from any and all claims that may be asserted against the Indemnified Parties or one or more of them, in connection with the applicability, determination, and/or payments made under the Illinois Prevailing Wage Act (820 ILCS 130/0.01 et.seq.), the Illinois Procurement Code, and/or any similar State or Federal law or regulation. This obligation to indemnify and hold harmless obligates Developer to defend any such claim and/or action, pay any liabilities and/or penalties imposed, and pay all defense costs of City, including but not limited to the reasonable attorney fees of City. Failure to comply with any of these requirements may cause all benefits hereunder to be terminated by the City. IN WITNESS WHEREOF the Parties hereto have caused this Agreement to be executed by their duly authorized officers on the above date at the City of Canton, Illinois. CITY OF CANTON, ILLINOIS DEVELOPER: By: RP Lumber Co., Inc. Mayor // ATTEST: By: e . _ �/ i Name: r`aatA-r L. P mc�2 City Clerk Title: rR re/0 eN T 8 EXHIBIT A DEVELOPER'S AFFIDAVIT OF EQUITY FINANCING 9 STATE OF ILLINOIS ) ) SS. COUNTY OF Abjf( /✓ ) AFFIDAVIT Now comes, 1900(47- L • / Luo E� , as President of RP Lumber Co. Inc., an Illinois Corporation, and hereby affirms as follows: )) ,,pp � 1. He/She is of legal age and resides at 970 6-04eH lid. Erni rIcv.1Ie -44 6701r: 2. RP Lumber Co., Inc., an Illinois Corporation, is the developer for the redevelopment project located at the site of the old K-Mart Building located in Canton, Illinois. 3. RP Lumber Co, Inc. has secured equity financing of an amount not less than 10%of the total project costs to be utilized for the redevelopment of the property referred to above. 7,4kt 76/f Executed this 2d =—� day of Jou y,2.041. RP Lumber Co., Inc. An Illinois Corporation B,. President Subscribed and affirmed before me this 'Z f Li" of J ary...2P+l. jcix,e 7oT ‘144.-ce OFFICIAL SEAL NOTARY PUBLIC BRUCE A RIEDLE NOTARY PUBLIC-STATE OF ILLINOIS MY COMMISSION EXPIRES:12113120 EXHIBIT B PTAX-1102-21 Authorization to Release Sales Tax Information to Local Governments 10 , C) Illinois Department of Revenue Authorization to Release Sales Tax Information to Local Governments General Information Complete this form only if you • make retail sales of tangible personal property from a permanent location in Illinois or conduct a tent sale where you complete ST-556 forms for individual transactions; and • want to authorize us (Illinois Department of Revenue)to disclose to your local government its share of sales tax received from your business. Incomplete requests will be returned to the local government. Step 1: Provide the retail business details Enter your Illinois Account ID 1 0405-4334 +- here, not your Federal Employer Identification Number(FEIN). Illinois Account ID number(Sales Tax number) 2 R. P. Lumber Co., Inc. Taxpayer/business name 1651 E.Chestnut Canton Fulton IL 61520 Address(actual address of retail location) City County State Zip 3 I authorize this release for the reporting periods 04/2017 through 03/2027 (month,year) (month,year) Note:All requests must have a beginning and ending date. 4 This information is to be released to the (circle one)village, city, town or county of Canton, IL , Note:All Financial Reporting requests will be mailed to the Treasurer of the local government. No additional copies will be sent by the Department. 5 Sign below I,as the owner or authorized officer, authorize the Illinois Department of Revenue(IDOR)to disclose to the designated village,city, town,or county the amount of the local.vernme,,s share of sales tax received from the taxpayer for the reporting period specified above.eezt_ci / dized Treasurer Signature of owner or autofficer of the bus ness Title Bruce A. Riedle ( 618 ) 655 - 7977 Print Name Telephone number Step 2: Give this form to your local government designated to receive the tax information Step 3: To be completed by the local government official receiving information Type of request(circle one): group/district stand-alone If group/district, enter name here: I,as the local government official,verify that this form is accurate and complete. ( ) Signature of local government official Title Telephone number IL Address City State Zip Completed forms should be returned to: Illinois Department of Revenue, Local Tax Allocation Division 3-500, PO Box 19014, Springfield, IL 62794-9014 or by fax to 217 524-0526 Questions? Call 217 785-6518 This form is authorized by the Retailers'Occupation Tax Act 35 ILCS 120/11.Disclosure of this Information is VOLUNTARY.This form , has been approved by the Forms Management Center.IL-492-4561 PTAX-1002.21(R-7111)