Common use of Financial Circumstances Clause in Contracts

Financial Circumstances. Please answer the following questions concerning your financial status by marking the appropriate box and filling in the blanks. 1.1 Was your net income before taxes more than C$200,000 in each of the 2 most recent calendar years? ☐ Yes ☐ No 1.2 If you answered “Yes” to Question 1.1, do you expect your net income before taxes to be more than C$200,000 in the current calendar year? ☐ Yes ☐ No 1.3 Was your net income before taxes combined with your spouse’s net income before taxes more than C$300,000 in each of the 2 most recent calendar years? ☐ Yes ☐ No 1.4 If you answered “Yes” to Question 1.3, do you expect your net income before taxes combined with your spouse’s net income before taxes to be more than C$300,000 in the current calendar year? ☐ Yes ☐ No 1.5 Do you own, either alone or with your spouse, more than C$1,000,000 in cash and securities, after subtracting any debt related to the cash and securities? ☐ Yes ☐ No 1.6 Do you own, either alone or with your spouse, have net assets (i.e., your total assets (including real estate) less your total debt) worth more than C$5,000,000? ☐ Yes ☐ No 1.7 Please indicate, for each of the two most recent years, what your individual net income before taxes (or joint net income before taxes together with your spouse) was, and for the current year what your individual net income before taxes (or joint net income before taxes together with your spouse) is expected to be: 2013 Individual Joint 2014 Individual Joint 2015 Individual Joint

Financial Circumstances. Please answer the following questions concerning your financial status by marking the appropriate box and filling in the blanks. 1.1 Was your net income before taxes more than C$200,000 in each of the 2 most recent calendar years? ☐ Yes ☐ No 1.2 If you answered “Yes” to Question 1.1, do you expect your net income before taxes to be more than C$200,000 in the current calendar year? ☐ Yes ☐ No 1.3 Was your net income before taxes combined with your spouse’s net income before taxes more than C$300,000 in each of the 2 most recent calendar years? ☐ Yes ☐ No 1.4 If you answered “Yes” to Question 1.3, do you expect your net income before taxes combined with your spouse’s net income before taxes to be more than C$300,000 in the current calendar year? ☐ Yes ☐ No 1.5 Do you own, either alone or with your spouse, more than C$1,000,000 in cash and securities, after subtracting any debt related to the cash and securities? ☐ Yes ☐ No 1.6 Do you own, either alone or with your spouse, have net assets (i.e., your total assets (including real estate) less your total debt) worth more than C$5,000,000? ☐ Yes ☐ No 1.7 Please indicate, for each of the two most recent years, what your individual net income before taxes (or joint net income before taxes together with your spouse) was, and for the current year what your individual net income before taxes (or joint net income before taxes together with your spouse) is expected to be: 2013 Individual Joint 2014 Individual Joint 2015 Individual Joint:

Financial Circumstances. Please answer the following questions concerning your financial status by marking the appropriate box and filling in the blanks. 1.1 Was your net income before taxes more than C$$200,000 in each of the 2 most recent calendar years? ☐ Yes ☐ No 1.2 If you answered “"Yes” " to Question 1.1, do you expect your net income before taxes to be more than C$$200,000 in the current calendar year? ☐ Yes ☐ No 1.3 Was your net income before taxes combined with your spouse’s net income before taxes more than C$$300,000 in each of the 2 most recent calendar years? ☐ Yes ☐ No 1.4 If you answered “"Yes” " to Question 1.3, do you expect your net income before taxes combined with your spouse’s net income before taxes to be more than C$$300,000 in the current calendar year? ☐ Yes ☐ No 1.5 Do you own, either alone or with your spouse, more than C$$1,000,000 in cash and securities, after subtracting any debt related to the cash and securities? ☐ Yes ☐ No 1.6 Do you own, either alone or with your spouse, have net assets (i.e., your total assets (including real estate) less your total debt) worth more than C$$5,000,000? ☐ Yes ☐ No 1.7 Please indicate, for each of the two most recent years, what your individual net income before taxes (or joint net income before taxes together with your spouse) was, and for the current year what your individual net income before taxes (or joint net income before taxes together with your spouse) is expected to be: 2013 2018 Individual ____________________ Joint 2014 ______________________ 2019 Individual ____________________ Joint 2015 Individual Joint______________________

Financial Circumstances. Please answer the following questions concerning your financial status by marking the appropriate box and filling in the blanks. 1.1 Was your net income before taxes more than C$$200,000 in each of the 2 most recent calendar years? ☐ Yes ☐ No 1.2 If you answered “"Yes” " to Question 1.1, do you expect your net income before taxes to be more than C$$200,000 in the current calendar year? ☐ Yes ☐ No 1.3 Was your net income before taxes combined with your spouse’s net income before taxes more than C$$300,000 in each of the 2 most recent calendar years? ☐ Yes ☐ No 1.4 If you answered “"Yes” " to Question 1.3, do you expect your net income before taxes combined with your spouse’s net income before taxes to be more than C$$300,000 in the current calendar year? ☐ Yes ☐ No 1.5 Do you own, either alone or with your spouse, more than C$$1,000,000 in cash and securities, after subtracting any debt related to the cash and securities? ☐ Yes ☐ No 1.6 Do you own, either alone or with your spouse, have net assets (i.e., your total assets (including real estate) less your total debt) worth more than C$$5,000,000? ☐ Yes ☐ No 1.7 Please indicate, for each of the two most recent years, what your individual net income before taxes (or joint net income before taxes together with your spouse) was, and for the current year what your individual net income before taxes (or joint net income before taxes together with your spouse) is expected to be: 2013 2018 Individual ____________________ Joint 2014 ______________________2019 Individual ____________________ Joint 2015 Individual Joint______________________