Common use of Pennsylvania Residents Clause in Contracts

Pennsylvania Residents. By purchasing an Investment Certificate pursuant to the exemption provided in Section 203(d) of the Pennsylvania Securities Act of 1972, Pennsylvania residents agree not to sell the securities purchased under the exemption within 12 months after the date of purchase, except in accordance with 64 Pennsylvania Code § 204.011 Security Number: Interest Rate: Representative: If you have additional questions about this application, please call (000) 000-0000. Please print clearly using a ballpoint pen. The offer and sale of Investment Certificates (“Certificates”) are subject to the terms of the United Pentecostal Church Development Fund, Inc. d/b/a United Pentecostal Church Loan Fund Offering Circular dated April 1, 2020, as may be supplemented, amended and restated (“Offering Circular”), which is incorporated herein by reference. The United Pentecostal Church Development Fund, Inc. d/b/a United Pentecostal Church Loan Fund reserves the right to refuse your application and not offer or sell any Certificate to you for any reason. □ NEW APPLICATION □ CHANGE OF INFORMATION Name Social Security or Tax I.D. Number Date of Birth: mo/day/year Email Address (optional) Address City State Zip ( ) ( ) ( ) Home Phone Work Phone Mobile Phone This application is to be used by individual applicants. You may select only one of the following additional ownership categories. If you do not select any of the following options, we will issue the Certificate solely in the name of the primary applicant. □ Joint Tenants. If you select this option, we will issue the Certificate to the primary applicant and joint applicant as joint tenants with right of survivorship, unless you elect below to hold this Certificate as tenants-in-common. We will honor the request of either co-owner to redeem a Certificate, effect a transfer or take any other action requiring the consent of the holder of the Certificate. Name Social Security or Tax I.D. Number Date of Birth: mo/day/year Email Address (optional) Address City State Zip ( ) ( ) ( ) Home Phone Work Phone Mobile Phone □ Tenants-in-Common. We elect to hold this Certificate as tenants-in-common, not as joint tenants with right of survivorship. For joint applications, please indicate the number of signatures required to process a redemption request: □ (1) □ (2) □ Trust. If you check this box, the Certificate will be issued in the name of the primary applicant, as trustee of the trust. If there is more than one trustee, each trustee must be identified in the purchase application Name and Date of Trust Name of Trustee Name of Additional Trustee (If Applicable)

Pennsylvania Residents. By purchasing an Investment Certificate pursuant to the exemption provided in Section 203(d) of the Pennsylvania Securities Act of 1972, Pennsylvania residents agree not to sell the securities purchased under the exemption within 12 months after the date of purchase, except in accordance with 64 Pennsylvania Code § 204.011 Security Number: Interest Rate: Representative: If you have additional questions about this application, please call (000) 000-0000. Please print clearly using a ballpoint pen. The offer and sale of Investment Certificates (“Certificates”) are subject to the terms of the United Pentecostal Church Development Fund, Inc. d/b/a United Pentecostal Church Loan Fund Offering Circular dated April 1, 20202021, as may be supplemented, amended and restated (“Offering Circular”), which is incorporated herein by reference. The United Pentecostal Church Development Fund, Inc. d/b/a United Pentecostal Church Loan Fund reserves the right to refuse your application and not offer or sell any Certificate to you for any reason. □ NEW APPLICATION □ CHANGE OF INFORMATION Name Social Security or Tax I.D. Number Date of Birth: mo/day/year Email Address (optional) Address City State Zip ( ) ( ) City State ( ) Zip Home Phone Work Phone Mobile Phone This application is to be used by individual applicants. You may select only one of the following additional ownership categories. If you do not select any of the following options, we will issue the Certificate solely in the name of the primary applicant. □ Joint Tenants. If you select this option, we will issue the Certificate to the primary applicant and joint applicant as joint tenants with right of survivorship, unless you elect below to hold this Certificate as tenants-in-common. We will honor the request of either co-owner to redeem a Certificate, effect a transfer or take any other action requiring the consent of the holder of the Certificate. Name Social Security or Tax I.D. Number Date of Birth: mo/day/year Email Address (optional) Address City State Zip ( ) ( ) City State ( ) Zip Home Phone Work Phone Mobile Phone □ Tenants-in-Common. We elect to hold this Certificate as tenants-in-common, not as joint tenants with right of survivorship. For joint applications, please indicate the number of signatures required to process a redemption request: □ (1) □ (2) □ Trust. If you check this box, the Certificate will be issued in the name of the primary applicant, as trustee of the trust. If there is more than one trustee, each trustee must be identified in the purchase application Name and Date of Trust Name of Trustee Name of Additional Trustee (If Applicable)