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10.03 Basic Debt Instrument Workform DEBT INSTRUMENT WORKFORM REVIEWER: ______________________ DATE OF REVIEW: ______________________ LOCATION OF REVIEW (DATA ROOM, ATTORNEY OFFICES, ETC.): DOCUMENTS COPIED? (YES/NO): __________ IF NO, CONTACT PERSON FOR ARRANGING COPIES (Include Area Code and Telephone Number): ______________________ 1. AMOUNT, DATE, PURPOSE OF INDEBTEDNESS:(a) Lender(s): (b) Original Principal Amount: $ ______________________ (c) Amount outstanding as of recent date: $ ___________________ Date: _____________________________________ Source: ___________________________________ (d) Amortization History: (e) Date of Original Loan Document and each Amendment or Waiver: (f) Purpose of Credit or Use of Proceeds: (g) Default History: 2. MATERIAL TERMS OF INDEBTEDNESS (a) Stated Interest Rate or Methodology for Calculating:(1) Timing and Character of any adjustments to the Interest Rate: (b) Repayment Terms: (1) Principal: (2) Interest: (c) Other Material Repayment Terms: 3. RATING OF ISSUER/DEBT (a) List relevant rating agencies: (b) Describe current rating and rating history: 4. DESCRIBE PRIORITY OF INDEBTEDNESS (e.g., describe relationship to all known or assumed indebtedness whether senior, pari passu or subordinated). Senior To: Pari Passu With: Subordinated To: 5. IS THE INDEBTEDNESS SECURED? YES ____ NO ____. IF YES, DESCRIBE TYPE, NATURE AND EXTENT OF SECURITY. 6. ARE UCCs ON FILE (IF SO, IN WHICH JURISDICTIONS)? 7. DO ASSET LOCATIONS MATCH UCC FILING LOCATIONS? 8. DESCRIBE ALL MATERIAL RESTRICTIVE COVENANTS (attach copies of same where appropriate or desirable) (a) Restrictions on Direct or Indirect Incurrence or Assumption of Indebtedness? Yes ____ No ____. If "Yes," describe: (b) Restrictions on Mergers, Acquisitions, Divestitures, Change of Control, etc.? Yes ____ No ____. If "Yes," describe: (c) Restrictions on Dividends and Distributions? Yes ____ No ____. If "Yes," describe: (d) Restrictions on Transactions with Affiliates? Yes ____ No ____. If "Yes," describe: (e) Restrictions on Issuance or Redemption of Capital Stock? Yes ____ No____. If "Yes," describe: (f) Restrictions on Issuance of Capital Stock? Yes ___ No ___. If "Yes," describe: (g) Restrictions on Fundamental Changes in Nature of Business? Yes ____ No ____. If "Yes," describe: (h) Provisions Regarding Maintenance of Properties and Corporate Existence? Yes ____ No ____. If "Yes," describe: (i) Provisions Regarding Maintenance of Net Worth or Other Financial Measurements? Yes ____ No ____. If "Yes," describe: (j) Provisions Regarding Application of Proceeds of Transaction? Yes ____ No ____. If "Yes," describe: (k) Other Material Covenants? Yes ____ No ____. If "Yes," describe: 9. DESCRIBE PROVISIONS REGARDING OPTIONAL PREPAYMENT OR DEFEASANCE (at Debtor's Option). 10. IS THERE ANY PENALTY OR PREMIUM FOR PREPAYMENT OF DEFEASANCE? YES ____ NO ____. IF YES, DESCRIBE: 11. DESCRIBE PROVISIONS REGARDING MANDATORY PREPAYMENT OR REDEMPTION (at Creditor's option). 12. DESCRIBE BRIEFLY ALL EVENTS OF DEFAULT AND CONSEQUENCES THEREOF (Including Acceleration). 13. DESCRIBE ANY PRIOR PAYMENT DEFAULTS UNDER THIS DEBT: 14. DESCRIBE BRIEFLY ALL CROSS-DEFAULT PROVISIONS. 15. DESCRIBE NOTIFICATION AND REPORTING OBLIGATIONS OR OTHER MATERIAL AFFIRMATIVE COVENANTS.