FORM LT-1 Page 1 Uniform Application to Offer or Sell Living Trusts This filing is: ___ an initial application ___ an amendment 1. Applicants full name: 2. Name under which business is conducted, if different: 3. If business name is being amended, give previous name: 4. Principal place of business (Number and Street - Do not use PO Box) (City) (State) (Zip) 5. Hours business is conducted at this location: Telephone number (Area Code) (Telephone No) at this location: from to 6. Mailing address if different (Number and street or PO Box) (City) (State) (Zip) from address given in 4: 7. If books and records required by Section 905 of the Living Trust Act are kept somewhere other than at the principal place ofbusiness given in Item 4, give the following information: Name and address of entity where books and records are kept: (Number and Street) (City) (State) (Zip) Hours business is conducted at this location: Telephone number (Area Code) (Telephone No) at this location: from to EXECUTION The undersigned and applicant represent that the information and stateme nts contained herein, including attached schedules, exhibits, and other information filed herewith, are current, true and complete. The undersigned and applicant further represent that, to the extent that any information previously submitted is not amended, such information is currently accurate and complete. Date: Name of applicant: By: (Signature) Typed Name and Title: Orig. 10/97 American LegalNet, Inc. www.USCourtForms.com>>>> 2 FORM LT-1 Applicant: Date: Page 2 8. Applicant is registered in the state of Montana as an: A. ___ Investment Advisor Name under which registered: Firms SAO No B. ___ Investment Advisor Representative Name of affiliated IA Firm: Firms SAO No Applicants SAO No 9. Applicant has arrangements material to its offering and sales of li ving trusts with a person or firm who is: ___ a licensed attorney ___ a certified public accountant ___ a certified financial planner ___ a trust company ___ a bank or thrift institution ___ a broker dealer ___ an insurance company ___ other FOR EACH ITEM CHECKED IN ITEM (9), IDENTIFY ON SCHEDULE B, THE PERSON OR FIRM AND DESCRIBE THE RELATIONSHIP AND THE ARRANGEMENT. 10. Client Services. Applicant: ___ prepares living trust documents for clients ___ manages client assets placed in trust ___ provides estate planning advice to clients ___ other FOR EACH ITEM CHECKED IN ITEM (10), DESCRIBE ON SCHEDULE B THE SERVICE PROVIDED AND THE APPLICANTS BASIC FEE SCHEDULE, AND HOW FEES ARE CHARGED. 11. Marketing. In relation to the offer and sale of living trusts, the applicant: ___ holds seminars ___ makes phone solicitation ___ publishes newsletter ___ advertises in newspaper or other publications ___ employs others to solicit business ___ distributes brochures or other material ___ other (explain on schedule B) PURSUANT TO RULE 6.12.1205, ARM, SALES AND PROMOTIONAL MATERIALS USED IN CONNECTION TO THE OFFER OR SALE OF LIVING TRUSTS MUST BE FILED WITH THE STATE AUDITOR AT LEAST TEN (10) DAYS PRIOR TO USE IN THIS STATE. American LegalNet, Inc. www.USCourtForms.com