SUBSCRIPTION AGREEMENT FOR
Exhibit 99.1
FOR
COMMON STOCK ($5.00 PER SHARE)
Persons interested in purchasing shares (“Shares”) of common stock, $0.001 par value (“Common Stock“) of Reven Housing REIT, Inc. (the “Company”) must complete and return this Subscription Agreement along with their delivery of the total subscription amount (“Subscription Payment”) via wire, certified or bank cashier’s check. All Subscription Payments shall be made in US Dollars. Subject only to acceptance hereof by the Company, in its discretion, the undersigned hereby subscribes for the number of Shares and at the Subscription Payment amount set forth below. An accepted copy of this Agreement will be returned to the subscriber as a receipt, and the physical stock certificate will be delivered to each subscriber within ten (10) days of the completion of the Minimum Offering, as defined below, or within ten (10) days of the Company’s acceptance of their subscription, whichever is later.
SUBSCRIPTION PAYMENTS - If the Subscription Payment is in the form of a wire transfer, such Subscription Payments shall be made as follows:
U.S. Bank, N.A.
Bank Address: 000 X. 0xx Xxxxxx, 00xx Xxxxx, Xxx Xxxxxxx, XX 00000
ABA# 000000000
Swift Code: XXXXXX00XXX
Acct: 180121167365
Beneficiary: U.S. Bank Trust N.A.
Ref: Reven Housing Escrow
Attn: Xxxxxxxx Xxxxxx/Xxxxx Xxxxxx
If the Subscription Payment is in the form of a certified or bank cashier’s check, such Subscription Payment shall be made payable to U.S. Bank Escrow #242840000 and delivered to:
Via Regular Mail:
US Bank
Operations Center
ATTN: Xxxxx Xxxxxx/TFM
Lockbox Services - CM 9705
XX Xxx 00000
Xxxxx Xxxx, XX 00000-0000
REF: Reven Housing Escrow #242840000
| Via Overnight Delivery: |
US Bank
Attn: Xxxxx Xxxxxx/TFM
0000 Xxxxxx Xxxx Xxxxx
Xxxxx Xxxx, XX 00000
REF: Reven Housing Escrow #242840000
SECURITIES OFFERED - The Company is offering (the “Offering”) a minimum of 3,000,000 shares (the “Minimum Offering”) and a maximum of 5,000,000 shares (the “Maximum Offering”) of its Common Stock, $5.00 per Share. The undersigned acknowledges having received and reviewed the Company’s prospectus dated ___________, 2016. All funds paid by subscribers in the Offering will be deposited in an escrow account with U.S. Bank, N.A., as escrow holder. Unless subscriptions for Shares for the aggregate gross offering proceeds of $15,000,000 have been received by the escrow holder by June 30, 2016, subject to the Company’s right to extend such date by up to 60 days, and, in addition, by such date the Company has received from the Nasdaq Capital Market notice of its approval of the listing of the Company’s Common Stock upon completion of the Minimum Offering, the Offering will terminate and the escrow agent will promptly return to each subscriber (at the subscriber’s address provided below) all funds provided by such subscriber without interest or deduction. If the Minimum Offering is completed by June 30, 2016, or the Company elects to extend the Minimum Offering for up to an additional 60 days, the Offering will continue until all shares are sold or the Company’s earlier decision to terminate the Offering.
SUBSCRIPTION - In connection with this subscription the undersigned hereby subscribes to the number of Shares shown in the following table.
NUMBER OF SHARES = _________________________________
Multiply by Price of Shares x $5.00 per Share
Aggregate Subscription Payment = $_____________________
Please register the Shares, which I am purchasing in the following name(s):
______________________________________________________
| As (check one): | ||
| ¨ Individual | ¨ Tenants in Common | ¨ Existing Partnership |
| ¨ Joint Tenants | ¨ Corporation | ¨ Trust |
| ¨ XXX | ¨ Minor with adult custodian |
For the person(s) who will be registered shareholder(s):
| Signature of Subscriber | Signature of Co-Subscriber | |
| Name of Subscriber (Printed) | Name of Co-Subscriber (Printed) | |
| Address | Address of Co-Subscriber | |
| Address | Address of Co-Subscriber | |
| Telephone Number | Telephone Number of Co-Subscriber | |
| U.S. Social Security or Tax ID Number (if any) | U.S. Social Security or Tax ID Number of Co-Subscriber (if any) | |
| Passport No. and Country of Issue | Passport No. and Country of Issue | |
| (for non-US investors) | (for non-US investors) |
| ACCEPTED BY: | ||
| Reven Housing REIT, Inc., | ||
| a Maryland corporation | ||
| By: | ||
| Date: | ||
| 2 |
