COURT OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Form D-2 Fee______Ck. No.____ : Index No. Each agent's personal statement must accompany this form. : Calendar No. STATE OF NEW HAMPSHIRE : DEPARTMENT OF STATE Plaintiff(s) BUREAU OF JUDICIAL SUBPOENA SECURITIES REGULATION -against: Application for License for Agents of New Hampshire corporations, partnerships, limited liability partnerships, limited liability companies and other legal entities : Agents' licenses expire December : 31 unless revoked. Defendant(s) : . . . . .Licenses. .will . . . . . sent . to. .the . dealer unless otherwise requested. . . . . . . . . . . . . . be . . . . . . . . . . . . . . . The fee for each license must accompany this registration. LE OFMakes checks NEW YORK State of New Hampshire. THE STATE OF payable to THIS IS TO CERTIFY, That the persons named below, being suitable, have been appointed agents or salesperson(s) to sell the securities of GS: (NAME OF CORPORATION OR OTHER LEGAL ENTITY) WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , ble at the Court The said Corporation or other legal entity requests the Director to license them as located at agents or salesperson(s) in this state , on the day of , 20 , at o'clock in the noon, and at any recessed d date, to testify and give evidence as a witness in this action on the part of the Dated at this day of , Signed __________________________________________________________ our failure to comply with this subpoena is punishable as a contempt of court and will make you liable to By n whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a (OFFICIAL TITLE) ur failure to comply. _______________________________________________________________________________ Name Residence Witness, Honorable first name in full , one of the Justices of the Give Give full address ______________________________________________________________________________ County, 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 Sec. form D-2 v1.1