COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. REGISTRATION BY QUALIFICATION CHECKLIST : JUDICIAL SUBPOENA Plaintiff(s) Required Documents (pursuant to NASAA guidelines and Blue Sky: Regulations) -against____________________________________________________________________________________ : Issuer Name Reviewed by:________________________________ Date Reviewed:______________________ : ______Complete Application ______Non-Profit Corporate Report ______Article of Incorporation ______Copy of Underwriting Agreement ______Draft Copy of the Security ______Advertisements Defendant(s) : ...................................................... THE PEOPLE OF THE STATE OF NEW YORK ______Trust Indenture ______U-2 Consent to Service TO ______U-2(a) Corporate Resolution Offering Circular Cover: _____Name of GREETINGS: Issuer _____Address ______Name of Security ____Description of Security (Type, Maturity, Interest Rate, Secured Status WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable amount of the offering: $___________at the ______Date of the Prospectus Court ____Aggregate located at County of in____Name, Addresson Telephone day of of Trustee , 20 ______Paying Agent in the room , & the , at o'clock noon, and at any recessed Number or adjourned date, to testify and give evidence as a witness in this action on the part of the ____Underwriters_____________________________ ______Disclaimer _____Broker Dealer___________________________ ______Correspondent name and Address Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to History on Operations: the party andwhose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. _____Location and date of formation ______Location Witness, History _____DevelopmentHonorable , Principal Justices ______Experience of one of theOfficers of the Court in County, day of , 20 _____List of Key Officers ______List of Major Shareholders _____Risk Factors ______Impoundment Provisions (If any) (Attorney must sign above and type name below) Use of Proceeds: _____Itemized Table ______Additional Funding Needs _____Compensation from Proceeds ______Salaries of Officers and Directors Attorney(s) for _____Any Financial Transactions with Underwriter _____Any Financial Transactions with Officers/Directors Office and P.O. Address Financial: G.A.A.P. Financial Statements with Notes: ______Audited ______Balance Sheet ______Income Statement ______Material Changes Since Last Balance Sheet _______Reviewed Telephone No.: _______Obligations Facsimile No.: E-Mail Address: _______Membership Profile Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com