| I ____________________, A FULLY ACCREDITED INVESTOR UNDER THE |
| DEFINITION OF THE EXCHANGE ACT OF 1934, AGREE TO LEND VERDISYS, |
| INC. THE SUM OF $____________. THE TERM OF THE LOAN IS FOR ONE YEAR |
| FROM THE DATE OF EXECUTION AND THE INTEREST RATE IS 8% SIMPLE |
| INTEREST. THE LOAN ALSO ENTITLES THE LENDER TO A ____% WARRANT |
| COVERAGE, WHICH PROVIDES THEM THE RIGHT TO PURCHASE |
|
| COMMON SHARES AT A PRICE OF $_____ PER SHARE AT ANY TIME WITHIN |
| THE TERM OF THIS NOTE. A SEPARATE WARRANT AGREEMENT WILL BE |
| ISSUED IN CONJUNCTION WITH THE LOAN. |
| |
|
| THE NOTE MAY BE REPAID AT ANY TIME PRIOR TO ONE YEAR FROM THE |
| DATE OF EXECUTION AT THE OPTION OF THE COMPANY. |
| |
|
| THE PARTIES HERETO EXPRESSLY WAIVE DEMAND, PRESENTMENT FOR |
| PAYMENT, NOTICE OF NONPAYMENT, PROTEST AND NOTICE OF PROTEST. |
| XXXXXX ASSERTS THAT THEY A FULLY KNOWLEDGABLE OF THE |
| COMPANY’S BUSINESS AND HAVE READ ALL AND ANY ASSOCIATED SEC |
| FILINGS, INCLUDING RISK FACTORS. |
| |
|
| |
|
| |
|
| SIGNED |
SIGNED |
|
|
| LENDER |
CFO VERDISYS, INC |
| |
|
| DATE |
DATE |
|
|
