EXHIBIT 10.3
SUBSCRIPTION AGREEMENT
Del Mar Income Partners, Ltd.
000 Xxxxxxxxx Xxxxxx, Xxx. 000
Xxxxxx, XX 00000
Gentlemen and Ladies:
The undersigned desires to invest in Del Mar Income Partners, Ltd. (the
"Company") on the terms and conditions described in this subscription agreement
(the "Subscription Agreement") and the Company's Prospectus dated
_______________. The undersigned acknowledges that the undersigned has received
the Prospectus.
1. Subscription
The undersigned hereby offers to purchase, in the aggregate dollar amount
set forth later in this Subscription Agreement, shares of Common Stock, at $7.25
per share, that are offered by the Company pursuant to the Prospectus. A check
in that amount payable to "Del Mar Income Partners, Ltd. Escrow" is enclosed.
2. Miscellaneous
(a) This subscription shall be irrevocable, and may not be assigned by the
undersigned. Subject to the foregoing, this Subscription Agreement shall be
binding upon and inure to the benefit of the heirs, executors, administrators,
legal representatives, successors and assigns of the undersigned.
(b) This Subscription Agreement will be construed and enforced in
accordance with and governed by the laws of the State of Colorado, except for
matters arising under the Securities Act of 1933, as amended, without reference
to principles of conflicts of law.
(c) It is understood that a social security number must be provided to
avoid backup withholding. Under the provisions of Section 3406(a)(1)(c) of the
Internal Revenue Code, payers are required to withhold 20% from all taxable
interest, dividend and certain other payments on accounts which do not reflect a
certified social security number or tax identification number. This referred to
as "backup withholding." "Backup withholding" is not an additional tax or
penalty. Any amount withheld from an account may be used as a credit from
federal income tax.
With such full understandings and acknowledgements, the undersigned does
hereby affirm the undersigned's subscription to the purchase of the shares of
common stock being offered by the Company as described in the Prospectus and
this Subscription Agreement. The undersigned does further acknowledge the
undersigned's understandings of all the terms and provisions of this
Subscription Agreement and agrees to be bound by all of the terms and conditions
of this Subscription Agreement.
Please complete the following:
Date: Dollar Amount Invested: $
------------------------ -------------
---------------------------------------
Exact Name in Which Title is to be Held
--------------------------------------- -----------------------------------
Signature Signature of Co-Owner
--------------------------------------- -----------------------------------
Print Name Print Name of Co-Owner
--------------------------------------- -----------------------------------
Social Security Number Social Security Number
or Taxpayer I.D. Number or Taxpayer I.D. Number
--------------------------------------------------------------------------------
Address
--------------------------------------------------------------------------------
City, State, Postal or Zip Code, Country
* If the Common Stock is to be held in joint tenancy or as tenants in
common, both persons must sign above and please indicate the manner in which the
Common Stock is to be held:
_____ Tenants in Common _____ Joint Tenants
The undersigned, under the penalties of perjury, certifies that the
information provided above is true, correct and complete, that he/she is not
subject to back-up withholding under the provisions of Section 3406(a)(1)(C) of
the Internal Revenue Code:
--------------------------- ------------------------
Date Signature of Co-Owner
This subscription is accepted by Del Mar Income Partners, Ltd. on this
_____ day of __________, ___________.
DEL MAR INCOME PARTNERS, LTD.
By:
-------------------------------
Signature
-------------------------------
Printed Name and Title
* * * * *
2
