2024 Environmental Questionnaire with Fillable Fields

Environmental

QUESTIONNAIRE

Signature of Borrower Required on Document Date: Borrower Name: Borrower Address: City:

State:

Zip:

State:

Zip:

Property Address: City:

1: Are there above-ground or below-ground storage tanks? q YES If so, a. How many? b. How large are the tanks? c. What year were the tanks installed? d. What year were the tanks last inspected? e. What is stored in the tanks? f. Have there been any leaks, discharges, or spills? g. Are any of the tanks registered?

q NO

2: What year were the building improvements constructed?

3: Is there any asbestos containing material surrounding pipes? q YES a. Sprayed on ceilings or walls? q YES q NO b. Contained in ceiling tiles? q YES q NO c. Contained in floor tiles? q YES q NO

q NO

4: Is your company or any affiliated company or subsidiary involved in the generation, manufacture, refining, transportation, treatment, storage, or q YES q NO or handling of hazardous substances?

UPDATED 1/2024

MEMBER FDIC

ENVIRONMENTAL QUESTIONAIRE

Page 2

5: Are any of the current or prior occupants of the property (if different q NO from your company) involved in the above activities? q YES 6: Has there ever been an environmental remediation q NO activity at the property? q YES 7: Are there any landfills in the area? q YES

q NO

8: Are there any superfund or other environmental remediation sites within a q NO one-mile radius of the perimeter of the property? q YES 9: Are there any adjacent properties that appear to be environmentally sensitive? q YES q NO 10: Are there any streams, drainage ditches, ponds, marshy areas, q NO or other areas with standing or flowing liquids? q YES 11: Are there any electrical transformers on the property? q YES

q NO

12: Does your company (including any separate divisions or subsidiaries) require or has it ever required any permits from a federal or state q NO agency responsible for maintaining the environment? q YES If yes, please provide a list:

13: Have any citations, administrative orders, judgments, etc., been issued to your company (or any divisions or subsidiaries) that pertain to q NO environmental matters or hazardous waste? q YES If yes, please provide details:

14: Have you ever been notified by any federal or state agency that you or your company (including separate divisions or subsidiaries) are potentially q NO responsible for the cleanup of any property? q YES If yes, please provide details:

555 JEFFERSON STREET / PADUCAH, KENTUCKY 42001 / 270.575.5700 / PADUCAHBANK.COM

MEMBER FDIC

Page 3

ENVIRONMENTAL QUESTIONAIRE

15: Are you now or have you ever been a defendant in any lawsuit involving q NO environmental matters or hazardous waster? q YES If yes, please provide a details:

16: Are you aware of any environmental testing or review q NO of property you occupy? q YES If yes, please provide details:

17: Has the property ever been tested for radon or other q NO radioactive materials? q YES If yes, please provide details:

18: Is there historical or archeological significance to the subject property? q YES

q NO

19: Is the subject property structure to be significantly q NO renovated or demolished? q YES 20: Are there now or have there ever been pits, ponds, or lagoons used for q NO treating waste located on the subject property? q YES If yes, please provide details:

21: Are there any groundwater monitoring wells (for groundwater q NO contamination) located on the property? q YES If yes, please provide details:

555 JEFFERSON STREET / PADUCAH, KENTUCKY 42001 / 270.575.5700 / PADUCAHBANK.COM

MEMBER FDIC

Page 4

ENVIRONMENTAL QUESTIONAIRE

22: Are there any outstanding Fire and/or Health Department violations q NO for the subject property? q YES If yes, please provide details:

23: Has a Phase I Environmental Assessment (ESA) or Regulatory Compliance Audit ever been performed for the subject property? q YES If yes, please provide details:

q NO

CERTIFICATION By executing this questionnaire, Borrower acknowledges that the above responses are true and correct and are material to the loans already made or to be made in the future. Borrower is under a continuing obligation to correct and update responses given in this questionnaire.

INDVIDUAL BORROWER

CORPORATE, PARTNERSHIP, OR UNINCORPORATED ASSOCIATION

Signature/Date

Authorized Signer

Signature/Date

Printed Name/Title

Signature/Date

Authorized Signer

Signature/Date

Printed Name/Title

555 JEFFERSON STREET / PADUCAH, KENTUCKY 42001 / 270.575.5700 / PADUCAHBANK.COM

MEMBER FDIC