Figure: 30 TAC §37.9025(a)

ALTERNATIVE I

1. Sum of current cost estimates or the current amount required if a certification is used (total of all current cost estimates shown in the paragraphs above) $_____________

2. Current bond rating of most recent issuance of this firm and name of rating service _____________

_____________

3. Date of issuance of bond _____________

4. Date of maturity of bond _____________

*5. Tangible net worth (if any portion of the current cost estimates is included in "total liabilities" on your firm's financial statements, you may add the amount of that portion to this line). $_____________

*6. Total assets in U.S. (required only if less than 90% of firm's assets are located in the U.S.) $_____________

Indicate either "yes" or "no" to the following questions.

7. Is line 2 at least an "A" rating? (yes/no)

8. Is line 5 at least 10 times line 1? (yes/no)

*9. Are at least 90% of the firm's assets located in the U.S.? (yes/no)

If not, complete line 10.

10. Is line 6 at least 10 times line 1? (yes/no)

11. Does the company have at least one class of equity securities registered under the Securities Exchange Act of 1934? (yes/no)

________

*Denotes figures derived from audited financial statements.

ALTERNATIVE II

1. Sum of current cost estimates or the current amount required if a certification is used (total of all current cost estimates shown in the paragraphs above) $_____________

*2. Tangible net worth (if any portion of the current cost estimates is included in "total liabilities" on your firm's financial statements, you may add the amount of that portion to this line). $_____________

*3. Cash flow (sum of net income plus depreciation, depletion and amortization) $_____________

*4. Total liabilities (if any portion of the current cost estimates is included in total liabilities, you may deduct the amount of that portion from this line and add that amount to line 2 and line 5) $_____________

*5. Net worth $_____________

*6. Total assets in U.S. (required only if less than 90% of firm's assets are located in the U.S.) $_____________

Indicate either "yes" or "no" to the following questions.

7. Is line 2 at least $10 million? (yes/no)

8. Is line 2 at least 10 times line 1? (yes/no)

*9. Are at least 90% of the firm's assets located in the U.S.? (yes/no)

If not, complete line 10.

10. Is line 6 at least 10 times line 1? (yes/no)

11. Is line 3 divided by line 4 greater than 0.15? (yes/no)

12. Is line 4 divided by line 5 less than 1.5? (yes/no)

________

*Denotes figures derived from audited financial statements.