COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : IMPOUND AGREEMENT : Index No. Calendar No. : This agreement is made and entered into_________________________________,_____ SUBPOENA between JUDICIAL 20_____ by and Plaintiff(s) _______________________________________________________________________, hereinafter referred to as the -against: "Company" and __________________________________________________________________, hereinafter referred to as : the "Depository", and GAVIN M. GEE, the Director, Department of Finance, hereinafter referred to as "Director". The Company warrants that it has applied for authority from the Director to sell certain securities of its own : issue, and it is agreed by all parties concerned: Defendant(s) : ...................................................... 1. That all moneys received from the sale of such securities shall be deposited in a special escrow account designated _________________________________________ Account. THE PEOPLE OF THE STATE OF NEW YORK 2. That $___________________ shall have been deposited on or before _____________________________, or TO other extended date approved by the Director. such 3. That with deposits made in said special account, there shall be included a list of the persons who have subscribed GREETINGS: the money, showing name, date, address, and amount of each subscription. All funds so deposited shall remain the property of the subscriber and shall not be subject to judgments or creditors' claims against the Company until WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before released to said , the Honorable Company. Checks for payment of securities shall be made payable to the Depository. at the Court located at County of in4. That immediately upon receipt ofof amount required to be deposited in the _____________________________ room , on the day the , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Account, in accordance with the provisions contained in Item No. 2 above, the Depository will notify the Director. 5. That the Director may order restitution of the deposits to the subscribers of said securities hereinbefore referred Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to to in Item whose behalf this subpoena was issued for a maximum the conditions and all damages sustained as the party onNo. 3 upon a finding that the Company has violated any of penalty of $50 of the securities offering or anya of the your failure to conditions made with the Director relating to the authorization or permission to establish result of agreements andcomply. ____________________________________________; and the Depository may relay upon the order furnished it by Witness, Honorable the Director to pay and distribute the funds to the subscribers pursuant to, one order with fullof the the of the Justices permission of the Court in County, day of , 20 Company. 6. That funds received by the Depository may be invested in short-term obligations of the United States (Attorney must sign above and type name below) Government and/or short-term certificates of deposit of the depository bank. Any income from such investments will accrue to the fund and shall be subject to the terms of this agreement. Attorney(s) for 7. That the Depository agrees to keep the funds deposited in the _____________________________ Account separate and apart from any other account the Company may have. Office and P.O. Address 8. That other than establishing and maintaining said escrow account under and pursuant to all applicable banking laws and regulations of the State of Idaho, the Depository shall have no further liability or responsibility whatsoever. Telephone No.: 9. That the Depository is performing the limited function of Facsimile No.: this fact in no way means that the Depository and E-Mail Address: Depository has passed in any way upon the merits of, qualifications of, or recommended, or given approval to, any Mobile Tel. No.: person, security or transaction. American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Calendar No. 10. That the name of the Depository shall not be used in any way that may infer an association with the issuer other : than that of legal depository. JUDICIAL SUBPOENA Plaintiff(s) -against: 11. That the impounded funds may be released to the Company only upon the express written authorization of the : Director. : Defendant(s) : ...................................................... _________________________________ _________________________________ (Company) (Depository) THE PEOPLE OF THE STATE OF NEW YORK TO By_______________________________ By_______________________________ GREETINGS: _________________________________ _________________________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before (Title) (Title) , the Honorable at the Court located at County of in room , on day of , 20 , at o'clock in the noon, and at any recessed Department of Finance the or adjourned date, to testify and give evidence as a witness in this action on the part of the By_______________________________ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to Director the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com