Form T-4 - Application For Exemption Filed Pursuant To Section 304(C) Of The Trust Indenture Act Of 1939 Page 2

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Items 7 to 11, inclusive, may be entirely omitted if exemption is not applied for pursuant to Section 304(c)(2).
7. Give the title and amount of securities exemption of which is applied for pursuant to Section 304(c)(2) of the Act.
8. Indicate each provision of the Act from which the applicant applies for exemption of the securities referred to in item 7.
9. Furnish the following information as to the indenture under which the securities specified in answer to item 7 were or are to
be issued:
(a) The name and address of each trustee.
(b) The aggregate principal amount of securities authorized by the indenture.
(c) The title, maturity date, and principal amount of each class (or, if serial, of each series) of securities outstanding under
the indenture at the date of filing the application.
(d) Give the title and amount, if any, of each class or series of securities specified in (c) which are proposed to be refunded,
redeemed, or otherwise retired.
Instruction — Item 9. If the securities referred to in answer to Item 7 were or are to be issued under a supplemental indenture,
the information is required by this item shall be given as to the original indenture and all indentures supplemental thereto.
10. State the approximate number of holders of each class (or, if serial, of each series) of securities specified in answer to item
9(c).
11. Give a statement of the material facts necessary to enable the Commission to determine whether or not compliance with the
provisions of the Act indicated in answer to item 8 would impose an undue burden on the applicant, having due regard to the
public interest and the interest of investors.
Instruction — Item 11. The information required by this item shall be given in such manner as to enable the Commission to make
a separate determination with respect to each provision of the Act indicated in answer to item 8.
Contents of application. This application comprises pages numbered _________ to _________, consecutively, and the
following exhibits:
SIGNATURE
The applicant, _ ____________________________________________________________________________________, a corporation
organized and existing under the laws of _________________________________________________, has duly caused this application
to be signed on its behalf by the undersigned, thereunto duly authorized, and its seal to be hereunto affixed and attested, all in the
city of _____________________________________ and State of _____________________________________, on the _____________ day
of __________________________ , ____________.
(SEAL)
_ _____________________________________________
(Applicant)
By ______________________________ _________
(Name)
Attest: _______________________________________
________________________________________
(Name)
(Title)
__________________________________________
(Title)
Instruction as to signature. The name of each person signing the application shall be typed or printed beneath the signature. If
the applicant is not a corporation, the necessary changes in the signature shall be made.
EXHIBITS
Instruction as to exhibits. Subject to Rule 7a-29 regarding incorporation of exhibits by reference, there shall be filed as a part
of the application a copy of each indenture, supplemental indenture, or agreement referred to in answer to items 1, 3, or 9.

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