FORM OF USURY NOTIFICATION
The Honorable ______________________ Attorney General Commonwealth of Massachusetts One Ashburton Place Boston, Massachusetts 02108 RE: Notification under Section 49 of Chapter 271, Massachusetts General Laws
Dear Attorney General Harshbarger: In accordance with the provisions of Section 49(d) of Chapter 271 of the Massachusetts General Laws, notice is hereby given of the intention of ______________________________ ________ a ____________________ ______________ with an address of _____________________ _________________ to make a loan to ______________________________________ a ___________________________ wherein the interest and expenses to be received in connection therewith may exceed the limitations set forth in Section 49(a) of Chapter 271. Please acknowledge receipt of this notice by signing and returning the enclosed copy of this letter and returning the same to the deliverer. Sincerely,
By
I hereby acknowledge receipt of the enclosed document.
Supercopy before use
099998.000522 DEC LIBD/26686.1 12/11/06 10:21 am