Exhibit 1.3
PURCHASE AGREEMENT
(For assistance in filling out this form, please see the reverse side)
Mail Completed Form to: Cornerstone Ministries Investments, Inc.,
Investor Services
0000 Xxxxxxx Xxxxxxx, Xxxxx 000, Xxxxxxx, XX 00000
Please issue a certificate of indebtedness of Cornerstone Ministries
Investments, Inc. in the amount and name shown below. I have received the
Prospectus. I certify (i) that the number shown on this form is my correct
taxpayer identification number, and (ii) that I am not subject to backup
withholding.
Signature:______________________________________ Date__________________
Signature: _____________________________________ Date__________________
Enclosed is payment for purchase of the following certificates:
Graduated Certificate: $__________ Interest paid monthly
(for investments of $10,000 or more)
(minimum $500) semi-annually _____compounded ______
9% Five-Year Certificate: $_______ Interest paid monthly
(for investments of $10,000 or more)
(minimum $500) semi-annually ____compounded ______
Make checks payable to:
Cornerstone Ministries Investments, Inc.
Register the certificates in the following name(s):
Name(1) ____________ Social Security or Taxpayer ID Number________Birthdate_____
Name (2)____________ Social Security or Taxpayer ID number________
As (check one): Individual ____ Joint Tenants _____
Custodial (certificates owned by minors) _____
Tenants in Common ____ Corporation _____ Trust _____ Other ___
RETIREMENT ACCOUNT ( ) Traditional XXX ( ) Xxxx XXX ( ) XXXXX
------------------
Custodian:__________________________________
Mailing Address for the person(s) who will be registered certificate owner(s):
Address: ______________________________________________________________
City, State & Zip Code: ___________________ e-mail address:___________
Telephone Number: Business:__( )_______Home:__( )__________
Yes, I want to save the cost of printing and mailing financial reports,
proxy statements, and other documents. Please send all certificate holder
communications to my email address. Signature: ___________________________
Please attach any special mailing instructions other than shown above
NO SUBSCRIPTION IS EFFECTIVE UNTIL ACCEPTANCE
You will be mailed a signed copy of this agreement to retain for your records.
Subscription accepted by Cornerstone Ministries Investments, Inc. and its sales
representative:
_______________________________ Date__________________
Broker/Dealer__________________________ Broker_______________________________
Certificate of Indebtedness Purchase Agreement page 2
How to Complete the Certificate of Indebtedness Purchase Agreement
Make checks payable to: Cornerstone Ministries Investments, Inc.
How can I purchase a certificate of indebtedness? Personal check, bank check, or
money orders are the only acceptable forms of payment. No cash or credit cards
are accepted.
Who should sign it? The person who is making the decision to buy the certificate
of indebtedness. This may be different from the person in whose name the
certificate is being registered.
Whose check can be used for payment? It should be either an account in the name
of the person signing this purchase agreement or the name(s) in which the
certificate of indebtedness is to be registered. We can not, for instance,
accept a check on a corporate bank account, where the registered certificate of
indebtedness owner is to be an individual--unless there is an accompanying
certified corporate resolution authorizing the use of corporate funds for that
purpose.
Can I buy a certificate of indebtedness for more than one person on the same
form? No. Make a copy of the form to use for an additional investment.
How can I buy a certificate of indebtedness for a person who is under 18 years
old? There are Uniform Gift to Minors Acts in the states. The "Custodial" box
can be checked and the certificate of indebtedness can be registered in a form
like: "Xxxx Xxx, as custodian for Minor Doe, under UGMA." The effect is that
Xxxx Xxx can sell the certificate of indebtedness, receive interest and
otherwise manage the investment, until Minor Doe becomes 18. Then, Xxxx Xxx can
request a replacement certificate in Minor Doe's name. If you want some other
legal arrangement, such as holding the certificate of indebtedness until the
minor is older than 18, you would have to create a trust agreement, using a
lawyer or a do-it-yourself guide. You would then check the "Trust" box and fill
in the name something like: "Xxxx Xxx, trustee for Minor Doe," or "Xxxx Xxx,
Trustee under Trust Agreement dated November 29, 1997."
Can I purchase a certificate of indebtedness for an XXX or other retirement
account? If your trust agreement permits it--that's between the investors and
their trustees. If your trust agreement does not permit it (many brokerage,
mutual fund or bank trustees will not permit it), then you may choose to "roll
over" or open a new account with another trustee. The check needs to be from the
trustee. You would check "Trust" on the form and write in something like: "ABC
Company, trustee for Xxxx Xxx XXX."
Guide to registering investments
Joint Tenants: The certificate of indebtedness is jointly owned by two or more
persons. If one person passes away, all of the certificate of
indebtedness is transferred to the surviving partner(s).
Tenants In Common: The certificate of indebtedness is jointly owned by two or
more persons. If one person passes away, half (or whatever fraction
designated of the certificate of indebtedness) automatically goes to
the deceased's estate and not to the surviving partner(s).
Trust: If you have an established Trust for yourself, Family or Children.
Please be sure to include exact name of the Trust and the Trust's
taxpayer ID number.
Custodial: Usually established for a minor, for a Guardian to maintain control
of the certificate until the minor becomes of legal age (18).
Registration should read as follows: Xxxx Xxx as Custodian for Minor
Doe under UGMA. Make sure to list the minor's social security number,
not yours.
Other: 1) Partnership - Make sure to list Tax ID #
2) XXX (Xxxxx, SEP or other retirement plan): Make sure your trust
agreement allows for investments of this kind, check with your plan
administrator. If not, you can establish a new XXX. Registration for
all IRA's should read as follows: [(Trustee or name of Plan) as Trustee
for Xxxx Xxxxx XXX Account # _________]
