Form MD 433-B (Rev. 7-2000)                                                                                                             Page 4
Section III                                                Income and Expense Analysis                                                              Form MD 433-B
The following information applies to income and expenses during   Accounting method used                                                            (Rev. July 2000)
the period ___________________ to _____________________                                                                                             State of Maryland                                    Collection Information Statement for Businesses
                                                                                                                                                    Comptroller of Maryland                                 (If you need additional space, please attach a separate sheet.)
                          Income                                                                Expenses
28 Gross receipts from sales, services, etc. $                    34 Materials purchased                                          $                 Note:  Complete all blocks, except shaded areas.  Write "N/A" (not applicable) in those blocks that do not apply.
29 Gross rental income                                                 (Number of employees ) ..................................                    1 Name and address of business                                         2 Business  phone number  (        ) ___________________________
30 Interest                                                       35 Net wages and salaries                                                                                                                                3 (Check appropriate box)
31 Dividends                                                      36 Rent                                                                                                                                                   ! Sole Proprietor                            ! Other (specify)
32 Other income (specify)                                              (Comptroller's use only)                                                                                                                             ! Partnership                                _______________________
35 Rental income                                                  37 Allowable installment payments                                                                 County _________________                                ! Corporation                                _______________________
                                                                  38 Supplies
                                                                                                                                                    4 Name and title of person being interviewed                          5 Employer identification number                      6 Type of business
                                                                  39 Utilities/telephone
                                                                  40 Gasoline/oil
                                                                                                                                                    7 Information about owner, partners, officers, major shareholder, etc.
                                                                  41 Repairs and maintenance
                                                                                                                                                                                     Effective                                                           Phone            Social Security                               Total Shares
                                                                  42 Insurance                                                                          Name and Title               Date                Home Address                                    Number                 Number                                  of Interest
                                                                  43 Current taxes
                                                                  44 Other (specify)
33 Total income                              $                    45 Total Expenses (Comptroller's use only)                      $
                                                                  46 Net difference (Comptroller's use only)                      $
Certification   Under penalties of perjury, I declare that to the best of my knowledge and belief this statement of assets, liabilities, and other
               information is true, correct, and complete.
47 Your signature                                                                                                                48 Date
                                                                                                                                                    Section I                                            General Financial Information
                                                                                                                                                    8 Latest filed income tax return Form                Tax Year Ended                                                  Net income before taxes
                                             Comptroller of Maryland Use Only Below This Line
                                                          Financial Verification/Analysis
                                             Date Information or                 Date Property                                     Estimated Forced 9 Bank accounts (List all types of accounts including payroll and general savings, certificates of deposit, etc.)
                                             Encumbrance Verified                   Inspected                                       Sale Equity
                                                                                                                                                          Name of Institution                       Address                                              Type of Account      Account No.                               Balance
Sources of income/credit (D&B report)
Expenses
Real Property
Vehicles leased and owned
Machinery and equipment
                                                                                                                                                                                                                                                         Total (Enter in Item 17) ......................................
Merchandise
Accounts/notes receivable                                                                                                                           10 Bank credit available (lines of credit, etc.)
                                                                                                                                                                                                                                                         Credit          Amount  Credit                                 Monthly
Corporate information, if applicable                                                                                                                 Name of Institution                            Address                                              Limit           Owed    Available                              Payments
U.C.C.: senior/junior lienholder
Other assets/liabilities
Explain any difference between item 46 (or P&L) and the installment agreement payment amount:

                                                                                                                                                    Totals (Enter in Items 24 or 25 as appropriate) .....................................................
                                                                                                                                                    11 Location, box number, and contents of all safe deposit boxes rented or accessed

Name of Originator                                                                              Date

Form MD 433-B (Rev. 7-2000)                                                                                                                                                  Page 2              Form MD 433-B (Rev. 7-2000)                                                                           Page 3
Section I (continued)                                         General Financial Information                                                                                                      Section II                                        Assets and Liability Analysis
12 Real Property                                                                                                                                                                                                 (a)         (b)       (C)         (d)       (e)      (f)                      (g)     (h)
                                                                                                                                                                                                             Description     Cur. Mkt. Liabilities Equity in Amt. Of  Name and Address of      Date    Date of
Brief Description and Type of Ownership                        Physical Address                                                                                                                                              Value     Bal. Due    Asset     Mo. Pymt Lien/Note Holder/Obligee Pledged Final Pymt
a                                                                                                                                                                                                16 Cash on hand
                                                                            County ____________________________
                                                                                                                                                                                                 17 Bank accounts
b
                                                                            County ____________________________                                                                                  18 Accounts/Notes receivable

c                                                                                                                                                                                                19 Life insurance loan value
                                                                            County ____________________________
                                                                                                                                                                                                 20 Real              a
d                                                                                                                                                                                                  property
                                                                            County ____________________________                                                                                    (from              b
                                                                                                                                                                                                   item 12
13 Life insurance policies owned with business as beneficiary                                                                                                                                                         c
    Name Insured                    Company                   Policy Number Type                                                                                 Face Amount Available Loan Value
                                                                                                                                                                                                                      d

                                                                                                                                                                                                 21 Vehicles leased   a
                                                                                                                                                                                                   and owned
                                                                                                                                                                                                   (model, year,      b
                                                                                                                                                                                                   license)
                                                                                                                                                                                                                      c

                                                                                                                                                                                                 22 Machinery and     a
                                                                                                                                                                                                   equipment
                                                                                                                                                                                                   (Specify)          b
Total (Enter in item 19)
                                                                                                                                                                                                                      c
14a Additional information regarding financial condition (Court proceedings, bankruptcies filed or anticipated, transfers of assets for less than full
   value, changes in market conditions, etc.  Include information regarding company participation in trusts, estates, profit-sharing plans, etc.)                                                23 Merchandise       a
                                                                                                                                                                                                   inventory
                                                                                                                                                                                                   (Specify)          b

                                                                                                                                                                                                 24 Other assets      a
                                                                                                                                                                                                   (Specify)
b If you know of any person or  (I) Who borrowed the funds?                                                                                                                                                           b
   organization that borrowed or
   otherwise provided funds to                                                                                                                                                                                        a
   pay net payrolls             (ii) Who supplied the funds?
                                                                                                                                                                                                                      b
15 Accounts/notes receivable (include current contract jobs, loans to stockholders, officers, partners, etc.)
                                                                                                                                                                                                 25 Other liabilities c
                                                                                                                                                                                                   (including notes
    Name                                    Address                         Amount Due                                                                           Date Due    Status                and judgements)
                                                                                                                                                                                                                      d

                                                                                                                                                                                                                      e

                                                                                                                                                                                                                      f

                                                                                                                                                                                                                      g

                                                                                                                                                                                                                      h

                                                                                                                                                                                                 26 Federal taxes owed

                                                                                                                                                                                                 27 Total

Total (Enter in item 18) ........................................................................................................................................

Form MD 433-B (Rev. 7-2000)                                                                                                                                                  Page 2              Form MD 433-B (Rev. 7-2000)                                                                           Page 3
Section I (continued)                                         General Financial Information                                                                                                      Section II                                        Assets and Liability Analysis
12 Real Property                                                                                                                                                                                                 (a)         (b)       (C)         (d)       (e)      (f)                      (g)     (h)
                                                                                                                                                                                                             Description     Cur. Mkt. Liabilities Equity in Amt. Of  Name and Address of      Date    Date of
Brief Description and Type of Ownership                        Physical Address                                                                                                                                              Value     Bal. Due    Asset     Mo. Pymt Lien/Note Holder/Obligee Pledged Final Pymt
a                                                                                                                                                                                                16 Cash on hand
                                                                            County ____________________________
                                                                                                                                                                                                 17 Bank accounts
b
                                                                            County ____________________________                                                                                  18 Accounts/Notes receivable

c                                                                                                                                                                                                19 Life insurance loan value
                                                                            County ____________________________
                                                                                                                                                                                                 20 Real              a
d                                                                                                                                                                                                  property
                                                                            County ____________________________                                                                                    (from              b
                                                                                                                                                                                                   item 12
13 Life insurance policies owned with business as beneficiary                                                                                                                                                         c
    Name Insured                    Company                   Policy Number Type                                                                                 Face Amount Available Loan Value
                                                                                                                                                                                                                      d

                                                                                                                                                                                                 21 Vehicles leased   a
                                                                                                                                                                                                   and owned
                                                                                                                                                                                                   (model, year,      b
                                                                                                                                                                                                   license)
                                                                                                                                                                                                                      c

                                                                                                                                                                                                 22 Machinery and     a
                                                                                                                                                                                                   equipment
                                                                                                                                                                                                   (Specify)          b
Total (Enter in item 19)
                                                                                                                                                                                                                      c
14a Additional information regarding financial condition (Court proceedings, bankruptcies filed or anticipated, transfers of assets for less than full
   value, changes in market conditions, etc.  Include information regarding company participation in trusts, estates, profit-sharing plans, etc.)                                                23 Merchandise       a
                                                                                                                                                                                                   inventory
                                                                                                                                                                                                   (Specify)          b

                                                                                                                                                                                                 24 Other assets      a
                                                                                                                                                                                                   (Specify)
b If you know of any person or  (I) Who borrowed the funds?                                                                                                                                                           b
   organization that borrowed or
   otherwise provided funds to                                                                                                                                                                                        a
   pay net payrolls             (ii) Who supplied the funds?
                                                                                                                                                                                                                      b
15 Accounts/notes receivable (include current contract jobs, loans to stockholders, officers, partners, etc.)
                                                                                                                                                                                                 25 Other liabilities c
                                                                                                                                                                                                   (including notes
    Name                                    Address                         Amount Due                                                                           Date Due    Status                and judgements)
                                                                                                                                                                                                                      d

                                                                                                                                                                                                                      e

                                                                                                                                                                                                                      f

                                                                                                                                                                                                                      g

                                                                                                                                                                                                                      h

                                                                                                                                                                                                 26 Federal taxes owed

                                                                                                                                                                                                 27 Total

Total (Enter in item 18) ........................................................................................................................................

Form MD 433-B (Rev. 7-2000)                                                                                                             Page 4
Section III                                                Income and Expense Analysis                                                              Form MD 433-B
The following information applies to income and expenses during   Accounting method used                                                            (Rev. July 2000)
the period ___________________ to _____________________                                                                                             State of Maryland                                    Collection Information Statement for Businesses
                                                                                                                                                    Comptroller of Maryland                                 (If you need additional space, please attach a separate sheet.)
                          Income                                                                Expenses
28 Gross receipts from sales, services, etc. $                    34 Materials purchased                                          $                 Note:  Complete all blocks, except shaded areas.  Write "N/A" (not applicable) in those blocks that do not apply.
29 Gross rental income                                                 (Number of employees ) ..................................                    1 Name and address of business                                         2 Business  phone number  (        ) ___________________________
30 Interest                                                       35 Net wages and salaries                                                                                                                                3 (Check appropriate box)
31 Dividends                                                      36 Rent                                                                                                                                                   ! Sole Proprietor                            ! Other (specify)
32 Other income (specify)                                              (Comptroller's use only)                                                                                                                             ! Partnership                                _______________________
35 Rental income                                                  37 Allowable installment payments                                                                 County _________________                                ! Corporation                                _______________________
                                                                  38 Supplies
                                                                                                                                                    4 Name and title of person being interviewed                          5 Employer identification number                      6 Type of business
                                                                  39 Utilities/telephone
                                                                  40 Gasoline/oil
                                                                                                                                                    7 Information about owner, partners, officers, major shareholder, etc.
                                                                  41 Repairs and maintenance
                                                                                                                                                                                     Effective                                                           Phone            Social Security                               Total Shares
                                                                  42 Insurance                                                                          Name and Title               Date                Home Address                                    Number                 Number                                  of Interest
                                                                  43 Current taxes
                                                                  44 Other (specify)
33 Total income                              $                    45 Total Expenses (Comptroller's use only)                      $
                                                                  46 Net difference (Comptroller's use only)                      $
Certification   Under penalties of perjury, I declare that to the best of my knowledge and belief this statement of assets, liabilities, and other
               information is true, correct, and complete.
47 Your signature                                                                                                                48 Date
                                                                                                                                                    Section I                                            General Financial Information
                                                                                                                                                    8 Latest filed income tax return Form                Tax Year Ended                                                  Net income before taxes
                                             Comptroller of Maryland Use Only Below This Line
                                                          Financial Verification/Analysis
                                             Date Information or                 Date Property                                     Estimated Forced 9 Bank accounts (List all types of accounts including payroll and general savings, certificates of deposit, etc.)
                                             Encumbrance Verified                   Inspected                                       Sale Equity
                                                                                                                                                          Name of Institution                       Address                                              Type of Account      Account No.                               Balance
Sources of income/credit (D&B report)
Expenses
Real Property
Vehicles leased and owned
Machinery and equipment
                                                                                                                                                                                                                                                         Total (Enter in Item 17) ......................................
Merchandise
Accounts/notes receivable                                                                                                                           10 Bank credit available (lines of credit, etc.)
                                                                                                                                                                                                                                                         Credit          Amount  Credit                                 Monthly
Corporate information, if applicable                                                                                                                 Name of Institution                            Address                                              Limit           Owed    Available                              Payments
U.C.C.: senior/junior lienholder
Other assets/liabilities
Explain any difference between item 46 (or P&L) and the installment agreement payment amount:

                                                                                                                                                    Totals (Enter in Items 24 or 25 as appropriate) .....................................................
                                                                                                                                                    11 Location, box number, and contents of all safe deposit boxes rented or accessed

Name of Originator                                                                              Date