Maryland Department of Assessments and Taxation Charter Division Statutory Trust Registration for non-Maryland Statutory Trust Note: This document must be accompanied by written proof of existence from the home state, equivalent of a Certificate of Good Standing. Fee to file this document with the Department of Assessments and Taxation is $100. The name of the Foreign Statutory Trust: 1a) If different from above, the name under which it proposes to register and do business in Maryland: Date of formation: Jurisdiction of formation: Principal Office Address: The general character of the business it proposes to transact in Maryland: Name and address of its resident agent in Maryland (No P.O. Boxes): The Foreign Statutory Trust agrees that the State Department of Assessments and Taxation is appointed as the resident agent of the Foreign Statutory Trust if no resident agent has been appointed, or if appointed, the resident agent's authority has been revoked, or if the agent cannot be found or served with the exercise of reasonable diligence. Has this Statutory Trust done business in Maryland prior to this registration? [ ] Yes [ ] NO (If it has, an additional $200 Penalty must accompany this registration) Signed: Authorized Person I hereby consent to my designation in this document as resident agent for this Statutory Trust. Signed: Resident Agent Revised 1/2016 American LegalNet, Inc. www.FormsWorkFlow.com