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STATEMENT OF BENEFITS " ,'. PERSONAL PROPERTY FORM SB-Il PP i.',) Stale Form 51764(R3/12-13) ?" Prescribed by the Department of Local Government Finance PRIVACY NOTICE Any information concerning the cost of the monody and specific salaries paid to Individual employees by the properly owner is confidential per IC 6-1.1.12.15.1. INSTRUCTIONS y This statement must be submitted to the body designating the Economic Revitalization Area prior to the public hearing If fire designating body requires Information from the applicant In making its decision about whether to designate an Economic Revitalization Area. Otherwise Ihls statement must be submitted to the designating body BEFORE a person Installs the new manufacturing equipment endrbr research and development equipment,and/or (optsficat distribution equipment and/or Information technology equipment for which the person wishes to claim a deduction, 2. The statement of benefits form must be submitted to the deslgnaling body and the area designated an economic revitalization area before the Installation of qualifying abatable equipment for which the person desires to Claim a deduction. 3. To obtain a deduction, a person must fee a certified deduction schedule with the person's personal properly return on a codified deduction schedule (Form 103-ERA)with the township assessor of the township where the property Is severed or with the county assessor If there is no township assessor for the township. The 103-ERA must be filed between March 1 end May 15 of the assessment year in which new manufacturing equipment and/or research end development equipment and/or logistical distribution equipment and/or Information technology equipment Is Installed and fully functional, unless a filing extension has been obtained. A person who obtains a tiling extension must fee the form between March 1 and the extended due date of that year. 4, Property owners whose Statement of Benefits was approved,must submit Form CF-1/PP annually to show compliance with the Statement of Benefits. (IC 6.1.1.12.1-5.6) 5. Fore Form SB-1/PP that is approved after June 30,2013,the designating body is required to establish an abatement schedule for each deduction allowed. Fora Form SB-1/PP Mails approved prior to July 1,2013,the abatement schedule approved hyena desgnating body remains in effect (IC 6.1,1-12.1.17) SECTION 7 TAXPAYER INFORMATION (dame of taxpayer Name of want person TOA USA LLC DON STOCK Address of taxpayer(number end street,city,slate,and ZIP code) Telephone number 2000 Pleiades Drive,Mooresville,IN 46158 ( 317 ) 634-8721 SECTION 2 LOCATION AND DESCRIPTION OF PROPOSED PROJECT Name of doaieneling body Resolution number(c) Mooresville Town Council,Town of Mooresville Location of property County OWE taxing district number LOT 2 RAWLINS MINOR PLAT;10.064 A Morgan 56005 Description of manufacturing equipment andlor research and development equipment r ESTIMATED and/or logistical distribution equipment and/or information technology equipment. L START DATE COMPLETION DATE (use additional sheets If necessary.) See Attachment Manufacturing Equipment 0810112015 0110111010 R&0 Equipment twist Dist Equipment IT Equipment SECTION 3 ESTIMATE OF EMPLOYEES AND SALARIES AS RESULT OF PROPOSED PROJECT Current number Salaries Number retained Salaries Number additional Salaries 466 $15,225,805A0 466 $15,225,805.40 200 $4,911,150.40 SECTION 4 ESTIMATED TOTAL COST AND VALUE OF PROPOSED PROJECT NOTE:Pursuant to IC 6-7.1-12.75.7(d)(2)the MANUFACTURING R&0 EQUIPMENT LOGIST DIST IT EQUIPMENT EQUIPMENT EQUIPMENT _ COST of the properly Is confidential, —COST ASSESSED COST ASSESSED COST ASSESSED COST ASSESSED VALUEVALUE VALUE VALUE Current values Plus evalues edof values of proposedyingprotect 43,450,000 l Less values of e�properly being replaced 0 MI Net estimated values upon completion of pr.act 43,450,000 SECTION 5 WASTE CONVERTED AND OTHER BENEFITS PROMISED BY THE TAXPAYER Estimated solid waste converted(pounds) 0 Estimated hazardous waste converted(pounds) 0 Other benellte: u W SECTION 6 TAXPAYER CERTIFICATION thereby certify! -/tee repro-.e :lions In this statement are True, _ Signature of eulh•' drepre, •:' eats signed(month,dex year) ` April 2,2014 Prime• a of authr led representative nue Don Stock Executive Director Manufacturing Page 1 of 2