INVESTOR SUBSCRIPTION AGREEMENT
Series 4 Subordinated Unsecured Notes
Persons interested in purchasing Notes of KH Funding Company (the "Notes") must
complete and return this Subscription Agreement along with their check, money
order or wire transfer to:
KH Funding Company
00000 Xxxxxxxx Xxxxx Xxxxx000
Xxxxxx Xxxxxx, XX 00000
If accepted by KH Funding Company (the "Company"), this Subscription Agreement
shall constitute a subscription for Notes of the Company. The minimum
investment, subject to waiver by the Company, is $5,000.
Acceptance of this Agreement will be in the form of an Acknowledgment which will
be mailed to you. Monthly statements will be mailed to you which show the
balance for your note. If this Agreement is not accepted by the Company, your
investment funds will be returned to you within ten (10) days with no interest
earned thereon.
Method of Payment: Check, money order or wire transfer payable to KH Funding
Company.
I/we hereby irrevocably tender this Subscription Agreement for the purchase of
$_______________ and, with this Subscription Agreement, I tender payment in such
amount for the Notes subscribed.
Term Requested (check one): See the enclosed Rate Sheet for current
interest rates.
______ 1-Year Note ______ 3-year Note _____ 5-Year Note
The Daily and 30-day Notes have an interest rate that is adjusted by the Company
from time-to-time.
The 1, 3 and 5-Year Notes have a fixed interest rate that is set at issuance.
You may add to your initial and subsequent investments at anytime, without
affecting the interest rate or maturity date of your note, subject to approval
by the Company.
Interest (check one): ___ Monthly ___Quarterly ___Accrued
In connection with this investment in the Company, I represent and warrant as
follows:
1. I have received the Company's Prospectus dated ______________, 2003.
2. I am a bona fide resident of the state of ____________________.
3. My Social Security number or taxpayer identification number given
below is correct.
4. I am not subject to backup tax withholding (NOTE: Please cross out #4
if you have been notified by the Internal Revenue Service that you
are subject to backup withholding because of underreporting interest
or dividends on your tax return.
Please register the Note which I am purchasing as follows:
Name: ___________________________________________________________
As (check one):
_____Individual _____Tenants-in-Common _____ Existing Partnership
_____Joint Tenants _____Corporation _____ Trust
_____Minor with adult custodian under UGMA _____ XXX or SEP
For the person(s) who will be registered noteholder(s):
------------------------------ -----------------------------
Name Telephone
------------------------------ -----------------------------
Street address Social Security or Taxpayer ID number
------------------------------ ------------------------------
City State Zip Date of birth
(only required for XXX accounts)
------------------------------ ------------------------------
Signature Date
Original - KH FUNDING COMPANY Copy - SUBSCRIBER
Subscription Agreement
INVESTOR SUBSCRIPTION AGREEMENT
Series 3 Senior Secured Notes
Persons interested in purchasing Notes of KH Funding Company (the "Notes") must
complete and return this Subscription Agreement along with their check, money
order or wire transfer to:
KH Funding Company
00000 Xxxxxxxx Xxxxx Xxxxx000
Xxxxxx Xxxxxx, XX 00000
If accepted by KH Funding Company (the "Company"), this Subscription Agreement
shall constitute a subscription for Notes of the Company. The minimum
investment, subject to waiver by the Company, is $5,000.
Acceptance of this Agreement will be in the form of an Acknowledgment which will
be mailed to you. Monthly statements will be mailed to you which show the
balance for your note. If this Agreement is not accepted by the Company, your
investment funds will be returned to you within ten (10) days with no interest
earned thereon.
Method of Payment: Check, money order or wire transfer payable to KH Funding
Company.
I/we hereby irrevocably tender this Subscription Agreement for the purchase of
$_______________ and, with this Subscription Agreement, I tender payment in such
amount for the Notes subscribed.
Term Requested (check one): See the enclosed Rate Sheet for current
interest rates.
______Daily Liquidity Note ______30-day Demand Note
______1-Year Note ______3-year Note _____5-Year Note
The Daily and 30-day Notes have an interest rate that is adjusted by the Company
from time-to-time.
The 1, 3 and 5-Year Notes have a fixed interest rate that is set at issuance.
You may add to your initial and subsequent investments at anytime, without
affecting the interest rate or maturity date of your note, subject to approval
by the Company.
Interest (check one): ___ Monthly ___Quarterly ___Accrued
In connection with this investment in the Company, I represent and warrant as
follows:
1. I have received the Company's Prospectus dated ______________, 2003.
2. I am a bona fide resident of the state of ____________________.
3. My Social Security number or taxpayer identification number given below
is correct.
4. I am not subject to backup tax withholding (NOTE: Please cross out #4
if you have been notified by the Internal Revenue Service that you are
subject to backup withholding because of underreporting interest or
dividends on your tax return.
Please register the Note which I am purchasing as follows:
Name: ______________________________________________________________
As (check one):
_____Individual _____Tenants-in-Common _____ Existing Partnership
_____Joint Tenants _____Corporation _____ Trust
_____Minor with adult custodian under UGMA _____ XXX or SEP
For the person(s) who will be registered noteholder(s):
------------------------------ -----------------------------
Name Telephone
------------------------------ -----------------------------
Street address Social Security or Taxpayer ID number
------------------------------ ------------------------------
City State Zip Date of birth
(only required for XXX accounts)
------------------------------ ------------------------------
Signature Date
Original - KH FUNDING COMPANY Copy - SUBSCRIBER
Subscription Agreement
2
