INVESTOR SUBSCRIPTION AGREEMENT Series 4 Subordinated Unsecured Notes
Exhibit
99.1
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 Xxxxx 000
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 showing the transactions of
your investment account. 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 Prospectus and/or Prospectus Supplement for current interest
rates.
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_____
1-Year Fixed Term Note
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_____
3-Year Fixed Term Note
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_____
5-Year Fixed Term Note
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The
1, 3
and 5-Year Fixed Term Notes have a fixed interest rate that is set at
issuance.
Interest (check one): Monthly Quarterly
Accrued
In
connection with this investment in the Company, I represent and warrant as
follows:
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1.
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I
have received the Company’s Prospectus dated _____________, _____, and our
current Rate Supplement, if
applicable.
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2.
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I
am a bona fide resident of the state of______________________
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3.
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My
Social Security number or taxpayer identification number given below
is
correct.
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4.
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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.
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Please
register the Note which I am purchasing as follows:
Name: 
60;
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As
(check one):
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_____
Individual
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_____
Existing Partnership
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_____
Trust
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_____
Tenants-in-Common
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_____
Corporation
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_____
XXX or SEP
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_____
Joint Tenants
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_____
Minor with adult custodian under
UGMA
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For
the
person(s) who will be registered noteholder(s):
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Name
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Telephone
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Street
address
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Social
Security or Taxpayer ID number
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City State
Zip
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Date
of birth
(only
required for XXX accounts)
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Signature
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Date
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Original—KH
FUNDING COMPANY Copy—SUBSCRIBER
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 showing the transactions of
your investment account. 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-Day Demand Note
|
_____
30-Day Demand Note
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|
|
_____
1-Year Fixed Term Note
|
_____
3-Year Fixed Term Note
|
_____
5-Year Fixed Term Note
|
The
1-day
and 30-day Notes have an interest rate that is adjusted by the Company from
time-to-time. The interest rate will not be less than 2.0% per year and will
not
adjust more than 1.0% in any 90-day period. We will notify you in writing at
least seven (7) days prior to any decrease in the interest rate. The 1, 3 and
5-Year Fixed Term Notes have a fixed interest rate that is set at
issuance.
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 _________________, and our
current Rate Supplement, if
applicable.
|
|
|
2.
|
I
am a bona fide resident of the state of
________.
|
|
|
3.
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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
|
_____
Existing Partnership
|
_____
Trust
|
|
_____
Tenants-in-Common
|
_____
Corporation
|
_____
XXX or SEP
|
|
_____
Joint Tenants
|
_____
Minor with adult custodian under
UGMA
|
|
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)
|
|
|
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||
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Signature
|
Date
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Original—KH
FUNDING COMPANY Copy—SUBSCRIBER
Subscription
Agreement
[KH
FUNDING COMPANY LETTERHEAD]
[Date]
[Investor
Name]
[Address]
[Address]
RE: Notice
of Maturity Account No.
Dear
Investor:
A
review
of your account indicates that the Maturity Date is [Month Day, Year]. Pursuant
to the terms of the Notes you must chose to either (a) redeem your investment
in
whole or part, or (b) continue you investment in Notes of KH Funding Company
(“the Company”) under one of the below listed options, and then complete and
return to us this Notice of Maturity (“Notice”).
Of
course, we welcome your continued investment in Notes of KH Funding and if
you
are interested in doing so enclosed please find our current Prospectus dated
_________________, ________ and our current Rate Supplement, if applicable.
Read
this current Prospectus, including “Risk Factors,” carefully before making your
investment decision. Then review the Rate Supplement, if applicable, and choose
the rate and term that best suits your investment objectives. Finally, complete
the options below and return this Notice to us in the enclosed postage-paid
envelope by [Month Day, Year], so we can update your investment
account.
Again,
thank you for your interest. If you have any questions, please call our office
at 000.000.0000.
Very
truly yours,
Investor
Relations
Options:
(Select one)
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(1)
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____
I/we hereby irrevocably elect for KH Funding Company to redeem the
Notes
referenced above in whole.
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(2)
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____
I/we hereby irrevocably elect for KH Funding Company to redeem the
Notes
referenced above in part and in connection therewith, I/we tender
$______of
the Redemption Price for the purchase of Notes as selected
below.
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(3)
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____
I/we hereby irrevocably elect to continue my/our investment in Notes
of KH
Funding Company and in connection therewith, I/we tender the entire
Redemption Price of the Notes referenced above for the purchase of
Notes
as selected below.
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If
(2) or
(3) above selected, please complete the following:
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Term
Requested (check one): *
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_____
1-Day Demand Note
|
_____
30-Day Demand Note
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|
|
_____
1-Year Fixed Term Note
|
_____
3-Year Fixed Term Note
|
_____
5-Year Fixed Term Note
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Interest
(check one):
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____
Monthly
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____
Quarterly
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____
Accrued
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Signature
of Investor(s)
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Date
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Deposit
Accounts are not FDIC or government insured.
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*
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The
1-day and 30-day Notes have an interest rate that is adjusted by
the
Company from time-to-time. The interest rate will not be less than
2.0%
per year and will not adjust more than 1.0% in any 90-day period.
We will
notify you in writing at least seven (7) days prior to any decrease
in the
interest rate. The 1, 3 and 5-Year Fixed Term Notes have a fixed
interest
rate that is set at issuance.
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NOTICE
OF
MATURITY
