IN WHICH TITLE IS TO BE HELD. ☐ Community Property* ☐ Individual Property ☐ Joint Tenancy With Right of s_ Separate Property Survivorship* ☐ Separate Property ☐ Corporate or Fund Owners ** ☐ Tenants-in-Common* ☐ Pension or Profit Sharing Plan ☐ Tenants-in-Entirety* ☐ Trust or Fiduciary Capacity (trust documents must accompany this form) ☐ Kxxxx Plan ☐ Fiduciary for a Minor ☐ Individual Retirement Account * Signature of all parties required ** In the case of a Fund, state names of all partners. ☐ Other (Please indicate) SUBSCRIPTION ACCEPTED: ZERIFY, INC. By: Mxxx X. Xxx DATE ZERIFY, INC. CONFIDENTIAL PURCHASER QUESTIONNAIRE Mxxx X. Xxx Zerify, Inc.
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Samples: Subscription Agreement (Zerify, Inc.), Subscription Agreement (Zerify, Inc.), Subscription Agreement (Zerify, Inc.)
IN WHICH TITLE IS TO BE HELD. ☐ Community Property* ☐ Individual Property ☐ Joint Tenancy With Right of s_ Separate Property Survivorship* ☐ Separate Property ☐ Corporate or Fund Owners ** ☐ Tenants-in-Common* ☐ Pension or Profit Sharing Plan ☐ Tenants-in-Entirety* ☐ Trust or Fiduciary Capacity (trust documents must accompany this form) ☐ Kxxxx Xxxxx Plan ☐ Fiduciary for a Minor ☐ Individual Retirement Account * Signature of all parties required ** In the case of a Fund, state names of all partners. ☐ Other (Please indicate) SUBSCRIPTION ACCEPTED: ZERIFY, INC. By: Mxxx Xxxx X. Xxx DATE ZERIFY, INC. CONFIDENTIAL PURCHASER QUESTIONNAIRE Mxxx Xxxx X. Xxx Zerify, Inc.
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