Fill and Sign the Demand Inspection 497331453 Form

Demand for Inspection of Corporate Books and Records The undersigned       is the holder of       (Name of Stockholder) (Number) shares of the common stock of       and does hereby (Name of Corporation) demand the opportunity to inspect, at the office of the Corporation, the books and records of the Corporation, its stock ledger and the list of its shareholders. The undersigned       does further state that the inspection (Name of Stockholder) is sought for a proper purpose, as follows:       . (Describe Purpose) The undersigned also states that he has never sold nor offered for sale any list of shareholders of any corporation, nor assisted any person in obtaining such a list or record for such purposes. The requested date and time for inspection is the       day of       , 20       , at       . (Time of day) Witness my signature this the       day of       , 20       . (Signature of Shareholder)       (Printed Name of Shareholder) State of       County of       Personally appeared before me, the undersigned authority in and for the said County and State, on this       day of       , 20       , within my jurisdic tion, the within- named       , who acknowledged that he executed the (Name of Shareholder ) above and foregoing instrument. ________________________________ NOTARY PUBLIC My Commission Expires:       Demand for Inspection of Corporate Books and Records Page 1 of 1