INDIANA DEPARTMENT OF REVENUE MF-135 SF# 49169 (R2/05-07) Letter of Credit Applicant's Name Applicant's License Account Number Prepaid/Gasoline/Special Fuel Irrevocable Standby Letter Of Credit # Issuing Bank Name Address Bank FEIN# ( ) Phone Number Effective Date Expiration Date We, , hereby issue an IRREVOCABLE STANDBY LETTER OF CREDIT for the Issuing Bank name of , in the amount Applicant's Name and Address of $ ( Thousand and no/100 Dollars) which is available by the Indiana Department of Revenue draft drawn at sight of bearing the clause Issuing Bank Name "drawn under Letter Credit for Issuing Bank Name " Applicant's Name accompanied by this Letter of Credit and the following: Statement purportedly signed by an officer of the Indiana Department of Revenue certifying that has been served a pre-warrant notice covering nonpayment of taxes pursuant to plus all Type of Tax Indiana Code Reference applicable penalties and interest due the Indiana Department of Revenue and has failed to provide an acceptable explanation within the time period for such protests or payment of tax. A copy of the pre-warrant notice which bears the expiration date of at least five (5) days prior to the date of the draft. Drawings may be made up to an aggregate amount but not to exceed . Amount of Letter of Credit American LegalNet, Inc. www.FormsWorkflow.com Unless the Indiana Department of Revenue, Fuel Tax Section is notified in writing to the contrary by , Issuing Bank Name this Letter of Credit, the expiration date, and any future expiration dates shall automatically renew each year for additional periods of one (1) year. If elects not to renew this Letter of Credit and the expiration date thereof (or any Issuing Bank Name subsequent renewal or extension hereof), shall notify the Indiana Department of Revenue, Fuel Tax Issuing Bank Name Section in writing by certified mail, at least one hundred eighty (180) days prior to stated expiration date of the bank's election in that regard, in which event, the Indiana Department of Revenue, Fuel Tax Section shall have the right thereafter until the stated expiration date to draw upon in the manner above provided. Issuing Bank Name engages with the Indiana Department of Revenue, Fuel Tax Section , that all drafts Issuing Bank Name drawn under and in compliance with the terms of this letter of Credit will be duly honored upon delivery of documents as specified if presented at on or before Issuing Bank Address . Expiration Date Except so far as otherwise stated, this credit is subject to the Customs and Practice for Documentary Credits (2007 Revision), International Chamber of Commerce Publication No. 600. IN WITNESS WHEREOF, we have hereunto set our hand and seal this day of , 20 Issuing Bank By: Officer of Bank Title: STATE OF COUNTY Before me, the undersigned, a Notary Public within and for the County and State aforesaid, this personally appeared day of , 20 and acknowledged the execution of the foregoing Letter of Credit. Officer of Bank Witness my hand and seal this date Notary Public My Commission Expires American LegalNet, Inc. www.FormsWorkflow.com