EXHIBIT 4.1
EXHIBIT A
PHOENIX REAL ESTATE DEVELOPMENT, INC.
SUBSCRIPTION AGREEMENT
Phoenix Real Estate Development, Inc. Number of Shares Subscribed for:______
0000 00xx Xxxxxx
Xxxxxxx, XX 00000 Total Purchase Price $______
($0.10 per share)
ATTN: Xxxxx Xxxxxxxxxx, President
1. Subscription for purchase of common shares. The undersigned (the
"Subscriber") hereby subscribes for the purchase of shares of the No Par Value
Common Stock of Phoenix Real Estate Development, Inc. at the purchase price of
$.10 per share for the aggregate purchase price of $__________.
2. Payment. Payment for the shares shall be made by check or wire transfer
payable to Horizon Bank of Boulder, N.A., Escrow Agent for Phoenix Real Estate
Development, Inc.
3. Method of Payment.
[ ] Uncertified personal check, payable to Horizon Bank Escrow
Agent for Phoenix Real Estate Development, Inc. Please note that
funds paid by uncertified personal check may take at least five
business days to clear. Accordingly, subscribers who wish to pay
the purchase price by means of an uncertified personal check are
urged to make payment sufficiently in advance of the expiration
date to ensure that such payment is received and clears by the
expiration date, and are urged to consider payment by means of a
certified or bank check, money order or wire transfer of
immediately available funds.
[ ] Certified check or bank check drawn on a U.S. bank or money
order, payable to Horizon Bank Escrow Agent for Phoenix Real
Estate Development, Inc.
[ ] Wire transfer directed to the account maintained by Horizon
Bank Escrow Agent for Phoenix Real Estate Development, Inc. at:
Horizon Bank of Boulder, N.A.
0000 Xxxxx Xxxxxx
Xxxxxxx, Xxxxxxxx 00000
(000) 000-0000
ABA#
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Credit Account #
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Account Name: Horizon Bank Escrow Agent
for Phoenix Real Estate Development, Inc.
If the amount enclosed or transmitted is not sufficient to pay the purchase
price for all shares of Common Stock that are stated to be subscribed for, or if
the number of shares of Common Stock being subscribed for is not specified, the
number of shares of Common Stock subscribed for will be assumed to be the
maximum number that could be subscribed for upon payment of such amount. If the
amount enclosed or transmitted exceeds the purchase price for all shares of
Common Stock that the undersigned subscribed for (such excess amount, the
"Subscription Excess"), the Escrow Agent shall return the Subscription Excess to
the subscriber without interest or deduction.
4. Delivery of Funds. Except for wire transfers, all funds must be
delivered along with this Subscription Agreement directly to Phoenix Real Estate
Development, Inc. at the address set forth above. Phoenix Real Estate
Development, Inc will see to the deposit of all checks within 24 hours of
receipt of the Subscription Agreement, directly into the escrow account
established for the purpose of clearing funds and holding subscription funds
until the minimum offering has been received.
ACKNOWLEDGMENT, THE SUBSCRIPTION FORM
IS NOT VALID UNLESS YOU SIGN BELOW.
I/We acknowledge receipt of the Prospectus and understand that after delivery of
this Subscription Agreement to the Company, I/we may not modify or revoke this
Subscription Agreement. Under penalties of perjury, I/we certify that the
information contained herein, including the social security number or taxpayer
identification number given above, is correct.
Subscriber's Signature(s): Date:
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Date:
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If signature is by trustee(s), executor(s), administrator(s), guardian(s),
attorney(s)-in-fact, agent(s), officer(s) of a corporation or another acting in
a fiduciary or representative capacity, please provide the following information
(please print).
Name: Capacity:
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Address: Phone:
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Soc. Sec. # or Tax ID #:
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