Common use of SUBSCRIBER SIGNATURES Clause in Contracts

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 of the representations below) Owner Co-Owner a) I/We have a minimum net worth (not including home, home furnishings and personal automobiles) of at least $70,000 and estimate that (without regard to Xxxxxxxx Xxxxxx – ARC Shopping Center REIT Inc.) I/we have a gross income due in the current year of at least $70,000; or I/we have a net worth (excluding home, home furnishings and automobiles) of at least $250,000, and 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 shares. Owner Co-Owner b) I/We have received the final prospectus of Xxxxxxxx Xxxxxx – ARC Shopping Center REIT Inc. Owner Co-Owner c) I/We am/are purchasing shares for my/our own account. Owner Co-Owner d) I/We acknowledge that shares are not liquid. Owner Co-Owner e) If an affiliate of Xxxxxxxx Xxxxxx – ARC Shopping Center REIT Inc., I/we represent that the shares are being purchased for investment purposes only and not for immediate resale. Owner Co-Owner f) If I am a Kansas resident, I acknowledge that it is recommended that my aggregate investment in shares and similar direct participation investments should not exceed 10% of my “liquid net worth,” which is that portion of net worth that consists of cash, cash equivalents, and readily marketable securities. Owner Signature: Date: Co-Owner Signature: Date: Signature of Custodian(s) or Trustee(s) (if applicable). Current Custodian must sign if investment is for an XXX Account Authorized Signature (Custodian or Trustee): Date: XXXXXXX XXXXXX HAVE IMPOSED SPECIAL FINANCIAL SUITABILITY STANDARDS FOR SUBSCRIBERS WHO PURCHASE SHARES General Standards for all Investors • Investors must have either (a) a net worth of at least $250,000 or (b) an annual gross income of $70,000 and a minimum net worth of $70,000.

Appears in 1 contract

Samples: Subscription Escrow Agreement (Phillips Edison - ARC Shopping Center REIT Inc.)

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SUBSCRIBER SIGNATURES. The Fund 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, the Fund 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 Fund has filed a registration statement on Form 10 (the “Registration Statement”) for the registration of its Shares with the U.S. Securities and Exchange Commission (the “SEC”) under the Securities Exchange Act of 1934, as amended (the “Exchange Act”). The Registration Statement is not the offering document pursuant to which the Fund is conducting this offering of securities. Accordingly, the Subscriber should rely exclusively on information contained in the private placement memorandum of the Fund (the “Memorandum”), together with reports the Fund may file under the Exchange Act from time to time, in making its investment decisions. The Fund expects to enter into separate Subscription Agreements (the “Other Subscription Agreements” and, together with this Subscription Agreement, the “Subscription Agreements”) with other investors (the “Other Investors”) providing for the sale of Shares to the Other Investors. This Subscription Agreement and the Other Subscription Agreements are separate agreements, and the sales of Shares to the undersigned further acknowledges and/or represents (or and the Other Investors are to be separate sales. Please separately initial each of the representations below. Except in the case of fiduciary accounts, the you may not grant any person authorized a power of attorney to sign on such subscriber’s behalf) the following: (you must initial each of make the representations below) Owner Co-Owner a) I/We have a minimum net worth (not including homeon your behalf. In order to induce HPS Advisors, home furnishings and personal automobiles) of at least $70,000 and estimate that (without regard LLC to Xxxxxxxx Xxxxxx – ARC Shopping Center REIT Inc.) I/we have a gross income due in the current year of at least $70,000; or I/we have a net worth (excluding home, home furnishings and automobiles) of at least $250,000, and 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 shares. Owner Co-Owner b) I/We have received the final prospectus of Xxxxxxxx Xxxxxx – ARC Shopping Center REIT Inc. Owner Co-Owner c) I/We am/are purchasing shares for my/our own account. Owner Co-Owner d) I/We acknowledge that shares are not liquid. Owner Co-Owner e) If an affiliate of Xxxxxxxx Xxxxxx – ARC Shopping Center REIT Inc., I/we represent that the shares are being purchased for investment purposes only and not for immediate resale. Owner Co-Owner f) If I am a Kansas residentaccept this subscription, I acknowledge that it is recommended that my aggregate investment in shares (we) hereby represent and similar direct participation investments should not exceed 10% of my “liquid net worth,” which is that portion of net worth that consists of cash, cash equivalents, and readily marketable securities. Owner Signature: Date: Co-Owner Signature: Date: Signature of Custodian(s) or Trustee(s) (if applicable). Current Custodian must sign if investment is for an XXX Account Authorized Signature (Custodian or Trustee): Date: XXXXXXX XXXXXX HAVE IMPOSED SPECIAL FINANCIAL SUITABILITY STANDARDS FOR SUBSCRIBERS WHO PURCHASE SHARES General Standards for all Investors • Investors must have either (a) a net worth of at least $250,000 or (b) an annual gross income of $70,000 and a minimum net worth of $70,000.warrant to you as follows:

Appears in 1 contract

Samples: Subscription Agreement (HPS Corporate Capital Solutions Fund)

SUBSCRIBER SIGNATURES. The undersigned further acknowledges and/or represents (By signing below, and intending to be legally bound, you have duly executed this Subscription Agreement and understand and agree to be bound by all of its provisions including, without limitation, the terms and conditions set forth in Annex A and any appendices hereto, or other documentation that you are required to provide herewith, and confirm that all of the representations, warranties and covenants made and information that you or others have provided herein or in connection herewith are true and correct. You agree to notify the case Fund promptly of fiduciary accountsany changes in the foregoing information or the accuracy of the foregoing representations and warranties and that you have received. You further agree and confirm that you have received, read and understand the Memorandum, this Subscription Agreement, including, the person terms and conditions set forth in Annex A, and any annexes, appendices and exhibits thereto, for this investment. You further represent that you (a) are duly formed, validly existing and in good standing under the laws of your jurisdiction of organization, that you are duly authorized to execute, deliver and perform this Subscription Agreement, the Fund Agreement and any other agreement that you are entering into in connection with your subscription for Shares and purchase and hold any Shares, (b) have satisfied any additional or different suitability standards imposed by your state of residence or imposed by any other applicable laws, and (c) have complied with and will comply with all laws relating to your acquisition and ownership of Shares. The individual signing this Subscription Agreement represents that he or she has full power and authority to execute and deliver this Subscription Agreement in such capacity and on your behalf and you represent that they possess the requisite power and authority to sign on such subscriber’s your behalf) . Revocable Trusts, Grantor Trusts* and IRAs: If the followingSubscriber is a revocable trust, a grantor trust or an IRA and the grantor and the trustee are the same person, its signature will bind it both in its capacity as trustee and grantor. Benefit Plan Investors: (you must initial each If the signatory is a fiduciary of the representations below) Owner Co-Owner a) I/We have a minimum net worth (not including home, home furnishings and personal automobiles) of at least $70,000 and estimate that (without regard to Xxxxxxxx Xxxxxx – ARC Shopping Center REIT Inc.) I/we have a gross income due in the current year of at least $70,000; or I/we have a net worth (excluding home, home furnishings and automobiles) of at least $250,000, and 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 accountsBenefit Plan Investor, the suitability standards must be met by signature will bind it in its corporate and fiduciary capacities. Representative Subscribers: A Representative Xxxxxxxxxx’s signature will bind both the beneficiary, Underlying Investor and the fiduciary account or by the donor or grantor who directly or indirectly supplies the funds for the purchase of the shares. Owner Co-Owner b) I/We have received the final prospectus of Xxxxxxxx Xxxxxx – ARC Shopping Center REIT Inc. Owner Co-Owner c) I/We am/are purchasing shares for my/our own account. Owner Co-Owner d) I/We acknowledge that shares are not liquid. Owner Co-Owner e) If an affiliate of Xxxxxxxx Xxxxxx – ARC Shopping Center REIT Inc., I/we represent that the shares are being purchased for investment purposes only and not for immediate resale. Owner Co-Owner f) If I am a Kansas resident, I acknowledge that it is recommended that my aggregate investment Representative Subscriber in shares and similar direct participation investments should not exceed 10% of my “liquid net worth,” which is that portion of net worth that consists of cash, cash equivalents, and readily marketable securities. Owner Signature: Date: Co-Owner Signature: Date: Signature of Custodian(s) or Trustee(s) (if applicable). Current Custodian must sign if investment is for an XXX Account Authorized Signature (Custodian or Trustee): Date: XXXXXXX XXXXXX HAVE IMPOSED SPECIAL FINANCIAL SUITABILITY STANDARDS FOR SUBSCRIBERS WHO PURCHASE SHARES General Standards for all Investors • Investors must have either (a) a net worth of at least $250,000 or (b) an annual gross income of $70,000 and a minimum net worth of $70,000its individual capacity.

Appears in 1 contract

Samples: Subscription Agreement (Goldman Sachs Private Credit Fund LLC)

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SUBSCRIBER SIGNATURES. All parties must sign. I (we) declare that the information supplied is true and correct and may be relied upon by the Company. I (we) acknowledge and agree that the terms of this Subscription Agreement include only those terms on the Subscription Agreement and those specifically required to complete the Subscription Agreement. Any additional terms added to the Subscription Agreement by hand or otherwise are void and of no effect. The undersigned further acknowledges and/or represents terms of the offering set forth in the Prospectus cannot be altered by this Subscription Agreement. 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 in the case of fiduciary accounts, the person authorized I am waiting for a number to sign on such subscriber’s behalf) the following: (you must initial each of the representations below) Owner Co-Owner a) I/We have a minimum net worth (not including home, home furnishings and personal automobiles) of at least $70,000 and estimate that (without regard be issued to Xxxxxxxx Xxxxxx – ARC Shopping Center REIT Inc.) I/we have a gross income due in the current year of at least $70,000; or I/we have a net worth (excluding home, home furnishings and automobiles) of at least $250,000me), and 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 shares. Owner Co-Owner b2) I/We have received the final prospectus of Xxxxxxxx Xxxxxx – ARC Shopping Center REIT Inc. Owner Co-Owner c) I/We am/are purchasing shares for my/our own account. Owner Co-Owner d) I/We acknowledge that shares are not liquid. Owner Co-Owner e) If an affiliate of Xxxxxxxx Xxxxxx – ARC Shopping Center REIT Inc., I/we represent that the shares are being purchased for investment purposes only and not for immediate resale. Owner Co-Owner f) If I am a Kansas resident, I acknowledge that it is recommended that my aggregate investment in shares and similar direct participation investments should not exceed 10% of my “liquid net worth,” which is that portion of net worth that consists of cash, cash equivalents, and readily marketable securities. Owner Signaturesubject to backup withholding because: Date: Co-Owner Signature: Date: Signature of Custodian(s) or Trustee(s) (if applicable). Current Custodian must sign if investment is for an XXX Account Authorized Signature (Custodian or Trustee): Date: XXXXXXX XXXXXX HAVE IMPOSED SPECIAL FINANCIAL SUITABILITY STANDARDS FOR SUBSCRIBERS WHO PURCHASE SHARES General Standards for all Investors • Investors must have either (a) a net worth of at least $250,000 I am exempt from backup withholding, or (b) an annual gross income I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of $70,000 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 minimum net worth 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 $70,000.this document other than the certifications required to avoid backup withholding. I acknowledge that the Registered Representative (broker of record) indicated in section 8 will have full access to my account information, including, but not limited to, the number of shares I own, tax information (including the Form 1099), redemption information, and my social security number and other personal identifying information. Investors may change the broker of record at any time by contacting the Company’s transfer agent, DST Systems, Inc. Signature of Investor or Trustee Signature of Co-Investor or Trustee, if applicable Date Signature of Custodian, if applicable

Appears in 1 contract

Samples: blackcreekgroup.com

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