10
PURCHASES MADE IN IOWA
For purchases made in Iowa:
This form must be signed and dated by the buyer and seller prior to consummation of this sale.
This form should be retained on file by the seller for a minimum of two years.
BUYER:
SELLER:
Name
Name
Address
Address
City State Zip
City State Zip
Signature Date
Signature Date
IB-7514D(0.0).indd Sec1:10
IB-7514D(0.0).indd Sec1:10
8/16/08 3:29:15 PM
8/16/08 3:29:15 PM