Prescribed by: Expedite this Form: (Select One) The Ohio Secretary of State Mail Form to one of the Following: Central Ohio: (614) 466-3910 Toll Free: 1-877-SOS-FILE (1-877-767-3453) Yes PO Box 1390 Columbus, OH 43216 *** Requires an additional fee of $100 *** No www.sos.state.oh.us e-mail: busserv@sos.state.oh.us PO Box 1329 Columbus, OH 43216 REPORT BY REAL ESTATE INVESTMENT TRUST (For Domestic or Foreign) Filing Fee $125.00 (168-RTO) TO THE SECRETARY OF STATE, COLUMBUS, OHIO , a real (name of trust) estate investment trust desiring to transact real estate business in Ohio, pursuant to Section 1747.01 et seq., Revised Code of Ohio hereby files the following report: FIRST Its business name is SECOND It is a real estate investment trust organized in the state of THIRD The complete address of its principal office is (street address) NOTE: P.O. Box Addresses are NOT acceptable. (city, township, or village) (state) (zip code) FOURTH If this report is being filed by a FOREIGN real estate investment trust, the complete address of its principal office in Ohio, if any, is (street name and number) , Ohio (city, village or township) FIFTH (zip code) It hereby designates as its agent within Ohio, upon whom process against the trust may be served. The complete address within Ohio of such agent is (street address) NOTE: P.O. Box Addresses are NOT acceptable. , Ohio (city, village or township) 556 (zip code) Page 1 of 2 American LegalNet, Inc. www.FormsWorkflow.com Last Revised: Jan. 2002 SIXTH It hereby irrevocably consents to service of process on such designated agent and to service of process upon the Secretary of State, if without the registration of another agent with the Secretary of State, its designated agent has died, resigned, lost authority, dissolved, becomes disqualified, or has removed from this state, or if its designated agent cannot, with due diligence, be found. SEVENTH The names and complete addresses of its trustees are: Name Address EIGHTH NOTE: P.O. Box Addresses are NOT acceptable. The approximate date upon which the real estate investment trust began transacting business in Ohio is . (date) NINTH This report is made in a court of this state. is not made to enable the real estate investment trust to maintain an action TENTH THERE IS HEREWITH SUBMITTED an executed copy of the trust instrument creating this real estate investment trust, including any amendments thereto, or a true and correct copy of such instrument, certified to be such by a trustee before an official authorized to administer oaths or by a public official in another state in whose office an executed copy is on file. IN WITNESS WHEREOF, said this report to be executed by trustee or an executive officer duly authorized in the premises on , has caused (date) (Name of Real Estate Investment Trust) Signature: Name: Title: 556 Page 2 of 2 American LegalNet, Inc. www.FormsWorkflow.com Last Revised: Jan. 2002 Instructions 1. Use Tab key to move between entry fields American LegalNet, Inc. www.FormsWorkflow.com