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Appendix T(4) ____________________________________________________________________________________________________________Attorneys for ABC Investment, Inc.(Applicant/Transferee)IN THE SUPERIOR COURT OF THE STATE OF ARIZONA IN AND FOR THE COUNTY OF ________________ In re: Approval of Transfer of Structured Settlement Payment Rights by __________, Transferor and Payee, to ABC INVESTMENT, INC., Transferee. Case No . ________________ NOTICE TO INTERESTED PARTIES OF PROPOSED TRANSFER OF STRUCTURED SETTLEMENT PAYMENT RIGHTS (A.R.S. § 12-2901 et seq.)COMES NOW Applicant, ABC Investment, Inc. (hereinafter “ABC Investment” or “Transferee”) by and through its attorneys NAME OF APPLICANT’S COUNSEL upon its Application for Approval of a Transfer of Structured Settlement Payment Rights pursuant to Arizona Structured Settlement Transfer Act, A.R.S. § 12-2901 et seq., and hereby notifies all interested parties that a hearing will be held on __________________, 20___, at 8:30 a.m. at the ___________ County Superior Court, the Honorable _________________ presiding, ADDRESS, for the purpose of determining why said Application should not be granted pursuant to A.R.S. § 12-2901 et seq.NOTICE: Attached hereto are copies of the following documents: 1.Application for Approval of Transfer of Structured Settlement Payment Rights (“Transfer Application”), including:a.Order Approving Minor’s Settlement;b.Settlement Agreement and Release, Qualified Assignment and Annuity Contract;c. Transfer Agreement; andd.Disclosure Statement required under A.R.S. § 12- 2902.2.List of Dependents of Transferor, with name and age of each (there are no dependents).3. Order to Show Cause.Any interested party is entitled to support, oppose or otherwise respond to the Transfer Application either in person or by counsel, by submitting written comments to the Court or other responsible administrative authority or by participating in the hearing.DATED this ___ day of _____________, 20__. By: ___________________________________Attorney for Applicant ABC Investment, Inc. Certificate of Service COPY of the foregoing hand-delivered this ____ day of _________, 20___, to:THIS COURTADDRESSCOPY of the foregoing mailed via certified mail this ____ day of ________, 20__, to:NAME OF ANNUITY ISSUERADDRESSCOURT THAT APPROVED MINOR’S SETTLEMENTADDRESSNAME OF ANNUITY OWNERADDRESSNAME OF TRANSFEROR/PAYEEADDRESS___________________________________Signature as to certification of service