Form Adv: U3-1 - Annual Report To State Of Alabama Department Of Revenue

Form Adv: U3-1 - Annual Report To State Of Alabama Department Of Revenue - 2010 Page 2

PAGE 2

ADV: U3-1

TY 2010

CAR MILEAGE: Made everywhere (shown by railroads listed alphabetically) and in Alabama during the year (total mileage loaded and

unloaded should be reported) for only those cars reported in the car description and cost data section on page 3.

NAME OF RAILROAD

TOTAL MILES MADE EVERYWHERE

TOTAL MILES MADE IN ALABAMA

(List Alphabetically)

(Loaded and Unloaded)

(Mileage on all railroads outside Alabama may be combined into one figure)

Alabama %

TOTAL

EXECUTION AND VERIFICATION

STATE OF _________________________________________

COUNTY OF _______________________________________

I, ____________________________________________________, hereby affirm that I am ________________________________ of the

Officer of Firm or Corporation

Title of Officer of Firm or Corporation

_______________________________________________________________________________, which has its principal place of business

Name of Firm or Corporation

______________________________________, in the County of ___________________________ in the State of _____________________;

and that the statements on pages 1 through 3 inclusive are complete, true, and correct statements of all matters and things as required by

law for Freight Line and Equipment Companies for the tax assessment year beginning October 1, 2009.

_______________________________________________________

Signature of Officer of Firm or Corporation

Sworn and subscribed before me on this the ___________ day of _____________________________________, __________.

_______________________________________________________

Signature of Notary Public

Form Adv: U3-1 - Annual Report To State Of Alabama Department Of Revenue - 2010 Page 2