DALLAS COUNTY CLERK CIVIL SECTION REGISTRY FUND DEPOSIT INFORMATION SHEET INTERPLEADER/CONDEMNATION CASE NO: CASE STYLE: VS (PLAINTIFF) (DEFENDANT) (1) PLAINTIFF: NAME: ADDRESS: SS / TAX ID#: DEFENDANT: NAME: ADDRESS: PHONE #: PLAINTIFF'S ATTORNEY: NAME: ADDRESS: PHONE #: DEFENDANT'S ATTORNEY: NAME: ADDRESS: PHONE #: ARE THESE FUNDS TO BE INVESTED ? YES NO HAS AN ORDER BEEN SUBMITTED TO INVEST FUNDS? YES NO IT IS THE RESPONSIBILITY OF THE ATTORNEY OF RECORD TO SUBMIT AN ORDER TO INVEST FUNDS. (1) FORM 1099-INT WILL BE SENT TO THIS ADDRESS EVERY YEAR. IT IS THE RESPONSIBILITY OF THE ATTORNEY OF RECORD TO NOTIFY THIS OFFICE OF ANY ADDRESS CHANGES. SIGNATURE: DATE: DEPOSITOR FORM CCTRUST003 01/05/2005 American LegalNet, Inc. www.FormsWorkflow.com