The below named applicant hereby applies for a Certificate of Existence/Authorization for the belowlisted corporation/limited liability company/limited partnership/limited liability partnership.1. Exact name of the business: For Office Use OnlyREQUEST FOR CERTIFICATE OFEXISTENCE/AUTHORIZATION (GOOD STANDING) State or country of incorporation/formation, if known: Secretary of State control number, if known: 2. If more than one certification is requested, please indicate the number: 4.This request must be accompanied by the statutory fee of $20.00 per certification per business. No credit will be extended. Make checks payable to: Tennessee Secretary of State. We regret that no requests can be taken by telephone, e-mail, or fax.SS-4238(Rev. 5/00) RDA 16783. The name and mailing address of the party to receive this order:Name Address City State Zip Code NOTE: If the service of an "overnight"courier is to be utilized, a complete airbill (including theaccount number to which the charges for service should be made) must accompany this request. American LegalNet, Inc. www.FormsWorkFlow.com