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EXHIBIT 25.1
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C.
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FORM T-1
STATEMENT OF ELIGIBILITY
UNDER THE TRUST INDENTURE ACT OF 1939
OF A CORPORATION DESIGNATED TO ACT AS A TRUSTEE
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CHECK IF AN APPLICATION TO DETERMINE ELIGIBILITY
OF A TRUSTEE PURSUANT TO SECTION 305(b)(2)
WACHOVIA BANK NATIONAL ASSOCIATION
(Exact name of Trustee as specified in its charter)
22-1147033
(I.R.S. Employer
Identification No.)
301 SOUTH COLLEGE STREET, CHARLOTTE, NORTH CAROLINA 28288-0630
(Address of Principal Executive Offices) (Zip Code)
MEDQUEST, INC.
(Name of Obligor)
DELAWARE 22-3860764
(State or other jurisdiction of (I.R.S. Employer
Incorporation or organization) Identification No.)
4300 NORTH POINT PARKWAY, ALPHARETTA, GA 30022
(Address of Principal Executive Offices) (Zip Code)
MEDQUEST, INC. $180,000,000 11 7/8% SENIOR SUBORDINATED NOTES, SERIES B, DUE
2012
(Title of Indenture Securities)
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ITEM 1. GENERAL INFORMATION.
Furnish the following information as to the trustee:
(a) NAME AND ADDRESS OF EACH EXAMINING OR SUPERVISORY AUTHORITY TO
WHICH IT IS SUBJECT:
Comptroller of the Currency, Washington, D.C.
Board of Governors of the Federal Reserve
System, Richmond, VA 23219
Federal Deposit Insurance Corporation, Washington, D.C.
(b) WHETHER IT IS AUTHORIZED TO EXERCISE CORPORATE TRUST POWERS.
The Trustee is authorized to exercise corporate trust powers.
ITEM 2. AFFILIATIONS WITH OBLIGOR.
IF THE OBLIGOR IS AN AFFILIATE OF THE TRUSTEE, DESCRIBE EACH
SUCH AFFILIATION.
None.
ITEM 16. LISTS OF EXHIBITS.
Exhibit 1 Articles of Association of the Trustee as now in effect,
incorporated herein by reference (see Exhibit T-1 Registration
Number 333-47985).
Exhibit 2 No certificate of authority of the Trustee to commence business is
furnished this authority is contained in the Articles of
Association of the Trustee.
Exhibit 3 Copy of the authorization of the Trustee to exercise corporate
trust powers, incorporated herein by reference (see Exhibit T-1
Registration Number 333-49145).
Exhibit 4 Copy of the existing By-Laws of the Trustee, as now in effect,
incorporated herein by reference (see Exhibit T-1 Registration
Number 333-49145).
Exhibit 5 Not applicable.
Exhibit 6 The consent of the Trustee required by Section 321 (b) of the Act,
incorporated herein by reference (see Exhibit T-1 Registration
Number 333-47985).
Exhibit 7 Report of Condition of Wachovia Bank National Association as of the
close of business on December 31, 2001, published pursuant to the
law or the requirement of its supervising or examining authority.
Exhibit 8 Not Applicable
Exhibit 9 Not Applicable
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SIGNATURE
Pursuant to the requirements of the Trust Indenture Act of 1939 the
Trustee, Wachovia Bank National Association organized and existing under the
laws of the United States, has duly caused this Statement of Eligibility to be
signed on its behalf by the undersigned, thereunto duly authorized, all in the
Town of Atlanta, and State of Georgia, on the ____ day of ______________.
WACHOVIA BANK NATIONAL ASSOCIATION
BY: /s/ Eric J. Knoll
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ASSISTANT VICE PRESIDENT
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EXHIBIT 7
WACHOVIA BANK NATIONAL ASSOCIATION
STATEMENT OF FINANCIAL CONDITION
AS OF 12/31/2001
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<Caption>
ASSETS
($000's)
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ASSETS
Cash and balance due from depository institutions:
Non-interest-bearing balances and currency and coin 10,660,000
Interest bearing balances 6,638,000
Securities:
Hold-to-maturity securities 0
Available-for-sale securities 47,596,000
Federal funds sold and securities purchased under agreements to resell 5,188,000
Loans and lease financing receivables:
Loan and leases held for sale 7,337,000
Loan and leases, net of unearned income 116,417,000
Less: Allowance for loan and lease losses 2,222,000
Less: Allocated transfer risk reserve 0
Loans and leases, net of unearned income, allowance 114,195,000
Trading Assets 19,071,000
Premises and fixed assets (including capitalized leases) 2,628,000
Other real estate owned 92,000
Investment in unconsolidated subsidiaries and associated companies 503,000
Customer's liability to this bank on acceptances outstanding 732,000
Intangible assets:
Goodwill 2,253,000
Other intangible Assets 336,000
Other Assets: 15,556,000
Total Assets: 232,785,000
LIABILITIES
Deposits:
In domestic offices 135,276,000
Non-interest-bearing 24,546,000
Interest-bearing 110,730,000
In foreign offices, Edge and Agreement subsidiaries, and IBFs 12,473,000
Non-interest-bearing 32,000
Interest-bearing 12,441,000
Federal funds purchased and securities sold under agreements to repurchase 19,728,000
Trading liabilities 15,559,000
Other borrowed money 16,702,000
Bank's liability on acceptances executed and outstanding 749,000
Subordinated notes and debentures 5,993,000
Other liabilities 9,195,000
Total liabilities 215,675,000
Minority Interest in consolidated subsidiaries 977,000
EQUITY CAPITAL
Perpetual preferred stock and related surplus 161,000
Common Stock 455,000
Surplus 13,302,000
Retained Earnings 1,847,000
Accumulated other comprehensive income 368,000
Other Equity Capital components 0
Total equity capital 16,133,000
Total liabilities and equity capital 232,785,000
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