COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. NOTICE REGISTRATION OF AGENT : Index No. TO: THE DIRECTOR OF THE DEPARTMENT OF FINANCE OF THE STATE OF IDAHO: : Calendar No. proposes This is to notify you that (issuer) to offer its securities in Idaho pursuant to Section 30-1435(1), Idaho Code, and Rule 270 : thereunder and has appointed, and hereby Plaintiff(s) (agent) registers , JUDICIAL SUBPOENA , (address) as (SSN) its agent for the purpose of said offering, which is more particularly described in Form D filed -against: with your Department on the day of , 20 . It is further understood that said agent is registered only for the above described offering : and such registration is effective only until such offering has been completed. It is further understood that this registration shall become effective ten (10) days after receipt by you unless you have objected thereto and that :it may be denied or revoked for reasons specified in Section 30-1413, Idaho Code. Defendant(s) : . . . . . .IN .WITNESS. .WHEREOF, . I,. . . . . . . . . . . . . . . . . . . . . . . . . .. ....... ........ .. (name of Officer/Partner) (title) of the above-named issuer, whose address is: have hereto set my hand and caused the seal of said issuer day of , 20 . to be affixed this THE PEOPLE OF THE STATE OF NEW YORK TO (signature) AGENT'S QUESTIONNAIRE 1. Full Name: Birthplace: GREETINGS: Address: Birth date: SSN: 2. Were you ever engaged or occupied as a salesman of securities in this or any other state? WE COMMAND YOU, that all business and excuses being laid aside, youof this of you attend beforeand If the answer is "yes", explain by completing Page 2 and each questionnaire , the Honorable attaching a separate sheet to be marked at the Exhibit 1, if Court necessary. 3. Have you ever been denied the right to sell or solicit for sale any securities in this or in other state? the , on day of If so, , give date, place, name of employer at any state the 20 , at o'clock in the noon, and and recessed anyroom or adjourned date, to for each denial in detail, on attached separate the reasons assigned testify and give evidence as a witness in this action on the part of sheet marked Exhibit 2. 4. Have you ever been the subject of any Order, Judgment or Decree of any court temporarily, preliminarily or permanently restraining or enjoining you from engaging or continuing any conduct or practice involving securities? If so, explain fully, giving dates, Your failure to comply with this subpoena is punishable as a contempt of court places and circumstances on attached sheet to be marked Exhibit 3. and will make you liable to 5. Have you ever been comply. result of your failure to convicted of the commission of any crime or crimes, or is there any action pending, other than traffic violations? If so, explain when, where, what the nature of the charge was on a separate attached sheet to be marked Exhibit 4. 6. Have you ever been suspended or barred from the practice of any profession? Court in County, , to so, explain fully, attaching day of separate sheet 20 be marked Exhibit 5. 7. Have you or any organization owned or controlled by you or in which you were an officer, director or partner ever been the subject of any insolvency or bankruptcy proceeding? If so, state when, with detail of settlement on attached sheet marked Exhibit 6. (Attorney must sign above and type name below) 8. Have you ever been discharged by an employer or requested to resign or otherwise severed your business relations with any person because of misrepresentation made by you, or claimed to have been made by you, in connection with the Attorney(s) securities? sale of for If so, give details on attached sheet to be marked Exhibit 7. County of located at the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a Witness, Honorable , one of the Justices of the Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: 1 American LegalNet, Inc. www.USCourtForms.com If COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PREVIOUS RESIDENCE, EMPLOYMENT, ETC., FOR PAST TEN YEARS : Index (Replies must be full and complete) No. Residential History Street : City Calendar No. State Zip Plaintiff(s) -against- : From To JUDICIAL SUBPOENA : : : Employment History - Account for all time for the past ten years. Give all employment experience starting with your previous employer and working back ten years. Include full and part-time work, Defendant(s) self-employment, military service, unemployment and full-time education. (Attach separate sheet if : ... necessary) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Employer Address Position THE PEOPLE OF THE STATE OF NEW YORK From To EmployerTO Address Position From To GREETINGS: Employer Address WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Position From To at the , the Honorable Court County of located at Employer , on the day of , 20 , at o'clock in the noon, and at any recessed Address in room Positionor adjourned date, to testify and give evidence as a witness in this action on the part of the From To Employer Address Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to Position From To 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. If heretofore engaged in the sale of any stocks, notes, contracts, or other securities of whatsoever kind or character or if otherwise engaged as a salesman, sales agent or principal in the promotion of any business by whatsoever means calculated to procureof the Justices ofinvestors, give Witness, Honorable , one funds from the style or name of issuer and purpose for which organized. If not so engaged, write "none" after Court in County, day of , 20 Issuer and Purpose. Issuer Purpose (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.: 2 American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Plaintiff(s) County of : JUDICIAL SUBPOENA Signature of Applicant : -againstSTATE OF Calendar No. ) : ) ss. ) : , being first dully sworn on oath, states he/she has read and knowingly made the foregoing statements and representations and that each and all of Defendant(s) such statements and representations are true. Subscribed: and sworn to before me, a Notary Public . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . this . in and for .the . aforesaid . count. .and .state,. . . . . . . . . . . . . . . . .day of 20 . ____________________________ Notary Public THE PEOPLE OF THE STATE OF NEW YORK Residing at: My Commission expires: TO G:\USERS\KWITT\NOTICEAG.FRM GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , on the day of , 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 Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to 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.: 3 American LegalNet, Inc. www.USCourtForms.com