SUBSCRIBER SIGNATURES. The undersigned further acknowledges and/or represents (or in the case of fiduciary accounts, the person authorized to sign on such subscriber’s behalf) the following: (you must initial each application representation below)
a) I/We (i) either (A) have a minimum net worth (not including home, home furnishings and personal automobiles) of at least $70,000 and (without regard to Lightstone Value Plus REIT III, Inc.) I/we have a gross income due in the current year of at least $70,000 or (B) have a net worth (excluding home, home furnishings and automobiles) of at least $250,000; and (ii) meet such higher suitability as may be required by certain states and set forth on the reverse side hereof. In the case of sales to fiduciary accounts, the suitability standards must be met by the beneficiary, the fiduciary account or by the donor or grantor who directly or indirectly supplies the funds for the purchase of the Common Shares. Owner Co-Owner Owner Co-Owner Owner Co-Owner
SUBSCRIBER SIGNATURES. The undersigned further acknowledges and/or represents (or in the case of fiduciary accounts, the person authorized to sign on such subscriber’s behalf) the following: (you must initial each application representation below)
a) I/We (i) either (A) have a minimum net worth (not including home, home furnishings and personal automobiles) of at least $70,000 and (without regard to Lightstone Real Estate Income Trust, Inc.) I/we have a gross income due in the current year of at least $70,000 or (B) have a net worth (excluding home, home furnishings and automobiles) of at least $250,000; and (ii) meet such higher suitability as may be required by certain states and set forth on the reverse side hereof. In the case of sales to fiduciary accounts, the suitability standards must be met by the beneficiary, the fiduciary account or by the donor or grantor who directly or indirectly supplies the funds for the purchase of the Common Shares. Owner Co-Owner b) I/We received the final prospectus of Lightstone Real Estate Income Trust at least five business days prior to the signing of this Subscription Agreement. Owner Co-Owner c) I/We am/are purchasing Common Shares for my/our own account. Owner Co-Owner d) I/We acknowledge that Common Shares are not liquid. Owner Co-Owner e) If the first or second box in Section 1 is checked, I/we represent that the Common Shares are being purchased for investment purposes only and not with a view towards resale. Owner Co-Owner Owner Co-Owner Owner Co-Owner Owner Co-Owner Owner Co-Owner Owner Co-Owner Owner Co-Owner
SUBSCRIBER SIGNATURES. KKR Infrastructure Conglomerate LLC is required by law to obtain, verify and record certain personal information from you or persons on your behalf in order to establish the account. Required information includes name, date of birth, permanent residential address and social security/taxpayer identification number. We may also ask to see other identifying documents. If you do not provide the information, KKR Infrastructure Conglomerate LLC may not be able to open your account. By signing the Subscription Agreement, you agree to provide this information and confirm that this information is true and correct. If we are unable to verify your identity, or that of another person(s) authorized to act on your behalf, or if we believe we have identified potentially criminal activity, we reserve the right to take action as we deem appropriate which may include closing your account. The parties hereto agree that this Subscription Agreement (or any agreement, document or notice required or permitted by this Subscription Agreement, or any amendment to this Subscription Agreement) and any additional information incidental thereto may be electronically presented, signed, delivered, transmitted, and/or maintained as electronic records. For the avoidance of doubt, your execution and delivery of this Subscription Agreement (or any agreement, document or notice required or permitted by this Subscription Agreement) by electronic signature and/or electronic transmission shall constitute the execution and delivery of a counterpart of the executed document by or on behalf of you and shall bind you to its terms. The authorization under this paragraph may include, without limitation, a manually signed paper document which has been converted into electronic form (such as scanned into PDF format or transmitted via facsimile), or an electronically signed document converted into another format, for transmission, delivery and/or retention. Your executing and delivering this Subscription Agreement or any document electronically further means you agree to take any and all reasonable additional actions, if any, evidencing your intent to be bound by the terms of this Subscription Agreement or other such document, as may be reasonably requested by KKR Infrastructure Conglomerate LLC. This Subscription Agreement will be considered accepted by KKR Infrastructure Conglomerate LLC as of the first business day of the month following the month in which you execute and deliver this Subscription Agr...
SUBSCRIBER SIGNATURES. The undersigned hereby confirms her/his/its agreement to purchase the shares on the terms and conditions set forth herein and acknowledges and/or represents (or in the case of fiduciary accounts, the person authorized to sign on such subscriber’s behalf) the following: (you must initial each of the representations below) Owner Co-Owner a) I/We have received the final prospectus of American Realty Capital Properties, Inc. Owner Co-Owner b) I/We accept terms of the charter, as amended, of American Realty Capital Properties, Inc. Owner Co-Owner c) I/We am/are purchasing shares for my/our own account. Owner Co-Owner d) I/We am/are in compliance with the USA PATRIOT Act and not on any governmental authority watch list. Owner Co-Owner e) If an affiliate of American Realty Capital Properties, Inc., I/we represent that the shares are being purchased for investment purposes only and not for immediate resale. Owner Signature:__________________________________________________________________ Date:______________ Co-Owner Signature:_______________________________________________________________ Date:______________ Authorized Signature (Custodian or Trustee):____________________________________________ Date:______________ WE INTEND TO ASSERT THE FOREGOING REPRESENTATIONS AS A DEFENSE IN ANY SUBSEQUENT LITIGATION WHERE SUCH ASSERTION WOULD BE RELEVANT. WE HAVE THE RIGHT TO ACCEPT OR REJECT THIS SUBSCRIPTION IN WHOLE OR IN PART, SO LONG AS SUCH PARTIAL ACCEPTANCE OR REJECTION DOES NOT RESULT IN AN INVESTMENT OF LESS THAN THE MINIMUM AMOUNT SPECIFIED IN THE PROSPECTUS. AS USED ABOVE, THE SINGULAR INCLUDES THE PLURAL IN ALL RESPECTS IF SHARES ARE BEING ACQUIRED BY MORE THAN ONE PERSON. THIS SUBSCRIPTION AGREEMENT AND ALL RIGHTS HEREUNDER SHALL BE GOVERNED BY, AND INTERPRETED IN ACCORDANCE WITH, THE LAWS OF THE STATE OF NEW YORK WITHOUT GIVING EFFECT TO THE PRINCIPLES OF CONFLICT OF LAWS. By executing this Subscription Agreement, the subscriber is not waiving any rights under federal or state law.
SUBSCRIBER SIGNATURES. Xxxxx Global Income Trust is required by law to obtain, verify and record certain personal information from you or persons on your behalf in order to establish the account. Required information includes name, date of birth, permanent residential address and social security/taxpayer identification number. We may also ask to see other identifying documents. If you do not provide the information, Xxxxx Global Income Trust may not be able to open your account. By signing the Subscription Agreement, you agree to provide this information and confirm that this information is true and correct. If we are unable to verify your identity, or that of another person(s) authorized to act on your behalf, or if we believe we have identified potentially criminal activity, we reserve the right to take action as we deem appropriate which may include closing your account. Please separately initial each of the representations below. Except in the case of fiduciary accounts, you may not grant any person a power of attorney to make the representations on your behalf. In order to induce Xxxxx Global Income Trust to accept this subscription, I hereby represent and warrant to you as follows:
SUBSCRIBER SIGNATURES. Apollo Infrastructure Company LLC is required by law to obtain, verify and record certain personal information from you or persons on your behalf in order to establish the account. Required information includes name, date of birth, permanent residential address and social security/ taxpayer identification number. We may also ask to see other identifying documents. If you do not provide the information, Apollo Infrastructure Company LLC may not be able to open your account. By signing the Subscription Agreement, you agree to provide this information and confirm that this information is true and correct. If we are unable to verify your identity, or that of another person(s) authorized to act on your behalf, or if we believe we have identified potentially criminal activity, we reserve the right to take action as we deem appropriate which may include closing your account. The undersigned’s signature pages to this Subscription Agreement shall also constitute a counterpart signature page to the LLC Agreement upon acceptance thereof by AIC and the Series. Please separately initial each of the representations below. Except in the case of fiduciary accounts, you may not grant any person a power of attorney to make the representations on your behalf. In order to induce Apollo Infrastructure Company LLC to accept this subscription, I hereby represent and warrant to you as follows: I have received a copy of the PPM. I am an “accredited investor” as defined in Rule 501 promulgated under Regulation D under the U.S. Securities Act of 1933, as amended (the “Securities Act”). All investors please also complete the questionnaire in Appendix A.
SUBSCRIBER SIGNATURES. If the Subscriber(s) is executing the Subscriber Signature Page, the Subscriber (i) understands that, BY EXECUTING THIS AGREEMENT A SUBSCRIBER DOES NOT WAIVE ANY RIGHTS HE/SHE MAY HAVE UNDER THE SECURITIES ACT OF 1933 OR THE SECURITIES EXCHANGE ACT OF 1934 OR UNDER ANY STATE SECURITIES LAW and (ii) under the penalties of perjury, certifies that the information provided in Section 2 is true, correct and complete and that he/she is not subject to back-up withholding under the provisions of Section 3406 (a)(1)(C) of the Internal Revenue Code: X ------------------------------- ----------------------------- Signature of 1st Subscriber Date X ------------------------------- ----------------------------- Signature of 2nd Subscriber Date SIGNATURE PAGE FOR TRUST INVESTORS ________________________________________________ Name of Trust (Please print or type) ________________________________________________ Name of Trustee (Please print or type) ________________________________________________ Date Trust was formed By______________________________________________ Trustee's Signature Taxpayer Identification Number:_________________ Trustee's Address: ___________________________ ___________________________ ___________________________ Attention:_________________ SIGNATURE PAGE FOR CORPORATE INVESTORS ________________________________________________ Name of Corporation (Please print or type) By______________________________________________ Signature of Authorized Officer, Title ______________________________________________ Name (Please print or type) Taxpayer Identification Number:_________________ Corporate Address: _______________________________ _______________________________ Mailing Address (if different): _______________________________ _______________________________ Attention:_____________________ SIGNATURE PAGE FOR PARTNERSHIP INVESTORS ________________________________________________ Name of Partnership (Please print or type) By______________________________________________ Signature of a General Partner ______________________________________________ Name (Please print or type) By______________________________________________ Signature of Additional General Partner (if required by partnership agreement) ______________________________________________ Name (Please print or type) By______________________________________________ Signature of Additional General Partner (if required by partnership agreement) ______________________________________________ Name (Pleas...
SUBSCRIBER SIGNATURES. All parties must sign. TAXPAYER IDENTIFICATION NUMBER CERTIFICATION (required) The investor signing below, under penalties of perjury, certifies that 1) the number shown in the Investor Social Security/Taxpayer ID# field in section 2 of this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and 2) I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and 3) I am a U.S. person (including a resident alien). NOTE: You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding.
SUBSCRIBER SIGNATURES. Please separately initial each representation made by the investor where indicated. Except in the case of fiduciary accounts, the investor may not grant any person a power of attorney to make such representations on his or her behalf. Each investor must sign and date this Section. If title is to be held jointly, all parties must sign. If the registered owner is a partnership, corporation or trust, a general partner, officer or trustee of the entity must sign. PLEASE NOTE THAT THESE SIGNATURES ARE NOT REQUIRED TO BE NOTARIZED.
SUBSCRIBER SIGNATURES. Owner Joint Owner Please carefully read, complete and separately initial each of the representations below. In the case of joint investors, each investor must initial. Except in the case of fiduciary accounts, you may not grant any person power of attorney to make such representations on your behalf. In order to induce the Company to accept this subscription, I (we) hereby represent and warrant that:
a. On , 201 , I (we) received the Prospectus for the Offering, wherein the terms and conditions of the Offering are described and agree to the terms and conditions.
b. I (we) certify that the representations made in my (our) Prior Subscription Agreement previously executed are accurate as of the date hereof.
c. I (we) acknowledge and agree that all representations, warranties and covenants made by me (us) in the Prior Subscription Agreement are hereby deemed made and agreed to with respect to the Offering as if such representations, warranties and covenants had been made in a full-length Subscription Agreement for the Offering.
d. I (we) acknowledge that the date of my (our) receipt of the Prospectus is at least 48 hours prior to the date of execution of this Transitional Supplemental Subscription Agreement.
e. I (we) hereby confirm that I (we) desire to subscribe for and purchase Units in the Offering for an aggregate purchase price of $ .
