EX-99
Investors Real Estate Trust
SUBSCRIPTION AGREEMENT
AMOUNT $__________________ NUMBER OF COMMON SHARES ________________
OWNERSHIP Name(s) ______________________________________________________
REGISTRATION: (investor(s) names)
Address ______________________________________________________
City ___________________________ State _______ Zip ___________
Social Security Number ____-____-____ or Tax I.D.# ___-______
Date of Birth ____/____/____
Social Security Number ____-____-____ or Tax I.D.# ___-______
Date of Birth ____/____/____
Under penalties of perjury, the undersigned certified (1) that the number shown
as his taxpayer identification
number is his correct taxpayer identification number and (2) that he is not
subject to back up withholding
either because he has not been notified that he is subject to backup withholding
as a result of a failure to
report all interest and dividends or because the Internal Revenue Service has
notified him that he is no longer
subject to backup withholding.
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MAILING ADDRESS Name(s)_____________________________________________________
FOR CORRES- _____________________________________________________
PONDENCE AND CASH Address_____________________________________________________
DISTRIBUTIONS City ____________________________ State _______ Zip ________
(If different
from above)
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TITLE TO ___Individual ___Tenants in Common ___IRA ___Partnership
BE HELD: ___Joint Tenants/ ___Corporation ___Trust ___Pension Plan
Rights of Survivorship ___Marital Property ___Custodian
___Profit Sharing
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SIGNATURES: I hereby certify as follows: That a copy of the Prospectus,
including the Subscription Agreement attached thereto, as amended
and/or supplemented to date, has been delivered to me, and I
acknowledge that such Prospectus was received.
Executed this ___ day of _________, 199___, at ___________(city)
____ (state).
Signature (investor's, otherwise Trustee of IRA, Pension Plan,
etc.) ____________________
Additional Signature (if joint tenant) __________________________
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The undersigned hereby represents that it has reasonable grounds to believe on
the basis of information obtained from the above-named investor concerning
his-her investment objectives, other investments, financial situation and needs,
and any other information known by it that:
A. The above-named investor is or will be in a financial position appropriate
to enable him-her to realize, to a significant extent, the benefits
discussed in the Prospectus;
B. The above-named investor has a fair market net worth sufficient to sustain
the risks inherent in the Shares, including loss of investment and lack of
liquidity; and
C. The Shares are otherwise suitable for the above-named investor. I further
represent that prior to executing this purchase transaction, I informed the
above-named investor of all pertinent facts relating to the liquidity of
the Shares.
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SOLICITING Firm ____________________________________________________________
DEALER
ENDORSEMENT: Registered Representative _______________________ Phone _________
Address _________________________________________________________
Dealer Authorized Signature _____________________________________
NOTE: Checks to be made payable to: INVESTORS REAL ESTATE TRUST, 00
XXXXX XXXX XX., XXXXX, ND 58701
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Accepted by: INVESTORS REAL ESTATE TRUST
By: XXXXX-XXXXX & ASSOCIATES Date _________________
(Advisor)
