Acknowledgements and Signatures. I/We acknowledge that I/We have received a copy of the current Revocable Deposit Agreement Standard Terms and Conditions, and have had an opportunity to review them, and understand that they form a part of the Agreement. By signing below, I/we hereby apply for a Revocable Deposit Agreement in the amount indicated above in accordance with the terms and conditions outlined above and in the Revocable Deposit Agreement Standard Terms and Conditions document attached. Depositor Joint Depositor Date Signed Print Name: Print name: Revocable Deposit Agreement: Letter of Direction Charitable Interest Distribution (Required As per Agreement Section C) I/We have, in our Revocable Deposit Application and Agreement, Section C, allocated a portion of interest income to be gifted to Charity (“Gift”). This is my/our first/original Letter of Direction relating to this Revocable Deposit Agreement Application. I/we understand that to make a change to these instructions, I/we may sign a new Letter of Direction and submit it to Christian Stewardship Services (“CSS”) at any time. I/We would like to have this Gift allocated to the following one or more charities, with the designation, if any, as indicated below: Name of Charity/Charities (with designation, if any): Percentage of Gift: I/we understand that CSS may only distribute gifts to registered Canadian charities, and retains the discretion to refuse to make a particular distribution. I/we understand that these gifts are to be used by the listed one or more charities in their own charitable work. I/we understand that any specified designations for the use of the funds, including any designations e.g. to an endowment fund, are as indicated above. When distributing the Gift: □ Feel free to disclose my/our name to charity □ Keep my/our gift confidential In the event that CSS is unable to contact me/us, I/we authorize CSS to contact the following alternate contact person(s), understanding that no personal information other than my status as a Depositor, will be disclosed by CSS to the alternate contact person(s) unless otherwise authorized by me/us. I/we will inform CSS if there are any changes to this information. Alternate Contact Name(s) Phone Email
Acknowledgements and Signatures. All dividends paid to your IRA will be reinvested in additional shares of ProLogis Trust 1999’s common stock. Please note the current IRA fee schedule. Information concerning the ability to revoke this IRA may be found in the IRA Disclosure Statement. Please sign and date the Enrollment Form. Keep a copy of the Enrollment Form and these instructions for your records. Along with your Enrollment Form, please enclose your check(s) for the IRA annual fee and any contribution(s), and the transfer form, if applicable. April Deadline: In order for a Program IRA to be eligible to receive IRA contributions for a particular tax year, this Enrollment Form, properly signed and completed, must be received at the above address on or before the tax-filing deadline, no extensions. Your contribution check must be postmarked to us at the address shown on this form no later than your tax-filing deadline, no extensions. IRA Program Fee Schedule Annual Maintenance $45.00 Sales Fee* (per request) $15.00 Partial Distribution (upon partial distribution, rollover, or transfer out of account) $15.00 Termination Fee (upon complete distribution, rollover, or transfer out of account) $75.00 Overnight Delivery (when requested by the account owner) $10.00 Wire Transfer (when cash is wired instead of mailed) $25.00 Stale Date Check Fee $5.00 Return Check Fee $25.00 Fees are subject to change upon 30 days written notice to the IRA Account Owners. Annual maintenance fees are not prorated upon plan establishment and are applied to the year in which the plan is opened. See the program literature for purchase, sales and reinvested dividend fees. *Plus applicable brokerage commissions. xxx-xx.xxxxxxxxxxxxx.xxx • 0.000.000.0000 002CSI0362 Form 5305-A Traditional Individual Retirement Custodial Account (Rev. March 2002) (Under Section 408(a) of the Internal Revenue Code) Department of the Treasury Internal Revenue Service Article I
Acknowledgements and Signatures. By signing this Agreement, the Contractor affirms that all Employees, including an Employee hired after the date of this Agreement, who will perform services under the Contract, will have undergone background checks satisfactory in accordance with the Contract, and will have signed the “Massachusetts Department of Revenue Compliance Agreement” before they can perform services under the Contract and/or access the DOR Information. In addition, if these Employees are accessing Federal Tax Information (“FTI”), they must undergo disclosure awareness training. The Contractor agrees to have all such Employees sign a Compliance Agreement and undergo training (if accessing FTI) each year. The Contractor will store the original signed Compliance Agreements and keep an updated list of the Employees who attended training, and will allow DOR to copy or review such documents upon request. The Contractor agrees to comply with and assume responsibility for compliance by its Employees with the requirements detailed in the Contract. I agree that I will inform all Employees who may have access to the DOR Information about DOR’s confidentiality statutes and regulations relating the unauthorized disclosure or use of the DOR information. I attest that I am in a position to assume responsibility for, and ensure compliance with, this Agreement and that I am authorized to sign this Agreement on behalf of the Contractor. I am aware that a violation of this Agreement may result in the termination of the Contract and for prohibiting the Contractor from entering into any future contracts with the Commonwealth. Name of Contractor: Name of Authorized Signatory (print): Signature: Title:
Acknowledgements and Signatures. All of the foregoing is hereby irrevocably agreed to and accepted by each of the Participant and the Corporation. Participant Acknowledgement, Acceptance and Agreement: Witness (Signature of Participant) Print full name Print full name Print full address *Please note the required Canadian and U.S. securities law legends on the next page which are deemed to be a part of this Option Agreement.
