Before completing the checklist, please note the following ...

1 Page 1 of 7 HARDSHIP CHECKLIST please use this checklist to ensure that you have completely and accurately filled out the application. All documentation will be reviewed and does not guarantee the approval of your request. In some cases, additional documentation may be requested. Before completing the checklist, please note the following : A hardship is a withdrawal from your account, therefore tax consequences will apply. It is NOT a loan. The documents submitted will not be returned to you. Your hardship application will be reviewed within 10 business days of receipt by Merrill Lynch. If your hardship is approved, your check will be mailed to you within 14 business days from the receipt of the application. Your check can only be mailed to the address listed on Merrill Lynch s record keeping system. If your request cannot be processed, you will receive notification via mail at your address on our records. Have Provided the necessary paperwork required for your hardship to be approved?

2 Made copies of your application and necessary paperwork? The documents you submit will not be returned to you. Read the Important Disclosures Section on Page 2 of the application? Entered all personal information in Section 1, Page 2. Placed an (X) next to the hardship reason that you are applying for? Placed an (X) next to the appropriate person if you are applying for post-secondary education, medical, or burial/funeral expenses? Provided proof of dependency? This is only required if you are applying for post-secondary education, medical, (See Dependency Section, Page 3) Entered your tax withholding election in Section 3, Page 6? Entered the amount that you would like your check to equal in Section 4, Page 6? Reviewed delivery methods in Section 5, Page 6? Signed and dated your application in Section 6, Page 6? ** please keep this page for your records** 609813har Page 2 of 7 Hunt Transport Services, Inc.

3 Employee Retirement Plan Hardship Withdrawal Application Plan # 609813 FAILURE TO PROVIDE THE REQUIRED DOCUMENTATION WILL RESULT IN THE DENIAL OF YOUR REQUEST please read the following important disclosures carefully Before completing this form. Important Disclosures You must certify that you have no other source of funds to cover this hardship expense and that you have obtained all other withdrawals and loans available under any company-sponsored Plan. To find out how much money you have available for a hardship, please log on to or call 800-228-4015 to speak to a representative. You will be suspended from making pre-tax salary deferral contributions to the plan for 6 months after the distribution. When your suspension period expires, you must re-enroll in accordance with the plan s regular enrollment procedures in order to begin contributing again. If you apply for multiple hardship reasons but do not qualify for all, you will be approved for the reason(s) for which you submitted appropriate documentation.

4 The IRS and the Plan rules permit a hardship payout of your 401(k) Plan contributions (but not the earnings on your contributions). The amount you withdraw cannot be greater than what is required to satisfy the financial need plus what is required to pay the taxes and penalties you owe as a result of the withdrawal. Your hardship check will be sent to the address listed on Merrill Lynch's record keeping system. MERRILL LYNCH WILL COMPLETE THE REVIEW OF YOUR APPLICATION WITHIN 10 BUSINESS DAYS FROM ITS RECEIPT. IF APPROVED, YOUR CHECK WILL BE SENT BY MERRILL LYNCH WITHIN 4 BUSINESS DAYS AFTER THE APPROVAL OF YOUR APPLICATION. IF YOUR APPLICATION IS DENIED, YOU WILL RECEIVE NOTIFICATION VIA MAIL AT YOUR ADDRESS ON OUR RECORDS. 1. Participant Identification please Print ALL Information Name:_____ Last First Middle Initial Home Adress:_____Apt.

5 #:_____ City:_____State:_____Zip:_____ Date:_____ IMPORTANT: Hardship checks will only be mailed to the address listed on Merrill Lynch s record keeping system. If the address above does not match the address on your account, please contact your Human Resource Department. If your address is outside the United States, please ask your Human Resource Department for any additional required IRS tax forms. Date of Birth MMDDYYYY Evening Phone Number (Area Code First) Day Time Phone Number (Area Code First) Social Security Number First Page 3 of 7 2. Hardship Reasons The hardship reason(s) for which you may apply and MUST provide the supporting documentation for are: A. Post-Secondary Education B. Burial or Funeral C. Medical D. Construction of Principal Residence E. Purchase of Principal Residence F. Eviction from Principal Residence G.

6 Foreclosure on Principal Residence H. Casualty **Dependency** If applying for Post-Secondary Education, Medical, or Burial/Funeral (AND) the appropriate person is a dependent You must prove dependency by: Submitting the first page of your most recent Federal income tax return ( Form 1040, 1040A or 1040EZ) that lists the dependent s names and his/her relationship to you (OR) by submitting a document from your Health Insurance provider indicating that this individual is a dependent. If the person that you are claiming as a dependent is not listed on your most recent Federal income tax return and you cannot provide an appropriate health insurance provider document, by signing this application in Section 6, Page 6, you are certifying that the person with respect to whom Post-Secondary Education, Medical or Burial/Funeral expenses have been incurred is your dependent for these purposes.

7 ** please Note: You must mail Merrill Lynch the proof of dependency along with the necessary paperwork required for approval. please review the section of this application that is dedicated to your hardship type for the necessary paperwork** A. Post Secondary Education The payment of tuition, related educational fees and room and board expenses for current or future terms (not greater than 12 months in the future) of post-secondary education. This includes college, masters, other graduate degree courses, trade schools, or vocational education which is intended to enhance your job skills. please note pre-existing expenses cannot be reimbursed ( , outstanding balances from prior terms). Place an (X) next to the appropriate person: The tuition expenses are for: 1) Myself _____ 2) My Spouse _____ 3) My Child _____ 4) My Dependent _____ (IF DEPENDENT, you must see top of Page 3) Necessary Paperwork You Must Provide: (Your request will be denied if you do not provide the required documentation) A bill or letter from the institution ON SCHOOL LETTERHEAD dated no more than 60 days prior to receipt of your application by Merrill Lynch that states the following : 1.

8 Student s name 2. Term(s) and Year(s) for which the student has registered ( Fall 20XX, Winter 20XX, Spring 20XX, Summer 20XX) 3. A list of costs for tuition, on-campus housing, books, and fees for current or future terms (not greater than 12 months in the future) please note: Requests to pay student loans DO NOT qualify 4. Current amount due less financial aid received B. Burial or Funeral Expenses Payment for burial or funeral expenses. please note: In-laws do not qualify as your parents. Also food and travel expenses do not qualify. Place an (X) next to the appropriate person. The burial or funeral expenses are for: 1) My Spouse_____ 2) My Parent_____ 3) My Child_____ 4) My Dependent_____ (IF DEPENDENT, you must see top of Page 3) Necessary Paperwork You Must Provide: (Your request will be denied if you do not provide the required documentation) A copy of a receipt from the funeral parlor, crematorium and/or cemetery Page 4 of 7 C.

9 Medical Unreimbursed medical expenses The medical expense must be of a type that qualifies under the Internal Revenue Code. The medical expenses must be unpaid. A notice from a collection agency alone is NOT sufficient proof of hardship. We also cannot accept a balance forward. Place an (X) next to the appropriate person. The medical expense is incurred by: 1) Myself _____ 2) My Spouse _____ 3) My Dependent _____ (IF DEPENDENT, you must see top of Page 3) Place an (X) next to the medical hardship reason below (1 3) for which you are applying 1. ____ The claim has already been incurred and is covered in part by health insurance. Necessary Paperwork You Must Provide: (Your request will be denied if you do not provide the required documentation) An outstanding itemized bill or treatment plan from the health care provider (OR) an explanation of benefits from your health insurance carrier for unpaid medical expenses. This document must be dated no more than 120 days prior to receipt of your application by Merrill Lynch and include: 1.

10 The patient s name 2. A list of service(s) provided 3. The service provider s name and address 4. The current amount due 2. ____ The claim has already been incurred and is not covered in any part by health insurance. Necessary Paperwork You Must Provide: (Your request will be denied if you do not provide the required documentation) An outstanding itemized bill or treatment plan from the health care provider dated no more than 120 days prior to receipt of your application by Merrill Lynch that includes: 1. The patient s name 2. A list of service(s) provided 3. The service provider s name and address 4. The current amount due (AND) You must provide 1 of the following : 1. A bill that states the insurance was not applicable and the balance is still outstanding 2. A letter from your insurance provider stating that the claim is not covered by insurance 3. A signed statement from you indicating you do not have insurance to cover this claim 3.