PREFERRED APARTMENT COMMUNITIES | SUBSCRIPTION AGREEMENT SECTION 1 : INVESTMENT Payment Instructions: Make all checks payable to “UMB BANK N.A., Escrow Agent for Preferred Apartment Communities, Inc.” or wire funds to the instructions in Section 7,...
PREFERRED APARTMENT COMMUNITIES | SUBSCRIPTION AGREEMENT
SECTION 1 : INVESTMENT Payment Instructions: Make all checks payable to “UMB BANK N.A., Escrow Agent for Preferred Apartment Communities, Inc.” or wire funds to the instructions in Section 7, Page 5.
SERIES A
SUBSCRIPTION
AGREEMENT
Account #:
(if applicable)
$
Number of Units purchased:
Purchase price per Unit:
Aggregate purchase price: $
Check here if additional purchase and complete
the investor information in section 3 :
Minimum initial investment of at least $5,000. No fractional
shares will be issued.
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Preferred Apartment Communities, Inc., is selling up to a maximum of 1,500,000 Units in connection with this offering (the ‘‘Offering’’). Each Unit
will be sold at a public offering price of $1,000 per Unit. Units will not be issued or certificated. The shares of Series A Redeemable Preferred Stock
and the Warrants are immediately detachable and will be issued separately.
This agreement is to be completed by the individual at the broker-dealer who will be signing the subscription agreement.
ALL sections MUST be completed and legible. Write/Type “N/A” in the sections that are not applicable.
SECTION 2 : ACCOUNT TYPE
THIRD PARTY ADMINISTERED CUSTODIAL PLAN - (New XXX accounts will require an additional application)
Individual
Trust
Estate
Custodial
Corporation
LLC
Partnership
Non-Profit Organization
Profit Sharing Plan
Traditional XXX
Defined Benefit Plan
SEP XXX XXXX XXX
XXXXX Plan
Simple XXX
Other (Specify)
Inherited/Beneficial XXX
C Corp S Corp
Joint Tenants WROS
Community Property
XXX
TODTenants in Common
ACCOUNT TYPE ADDITIONAL REQUIRED DOCUMENTATION
CUSTODIAL OWNERSHIP: For All Qualified Accounts
Check one Box Only
If XXX, Transfer on Death form
Trustee Certification form or trust documents
Articles of Incorporation or Corporate Resolution
LLC Operating Agreement or LLC Resolution
Formation document or other document
evidencing authorized signers
Pages of plan document that list plan name, date, trustee
name(s) and signatures
* Complete Custodial
Ownership below
For Inherited XXX indicate Decedent’s name:
Partnership Certification of Powers or Certificare of
Limited Partnership
None.
Documents evidencing individuals authorized to act
on behalf of estate
If XXX, Transfer on Death form
UGMA: State of UTMA: State of
Name of Custodian:
Mailing Address:
City, State, ZIP:
Custodian Tax ID#:
Custodian Account#:
Custodian Phone#:
CUSTODIAN INFORMATION (To be completed by Custodian above)
For help completing this form please call the sales desk at 855-320-1414.
PREFERRED APARTMENT COMMUNITIES | SUBSCRIPTION AGREEMENT
Date of Trust:
Entity Name/
Title of Trust
City:
Bank Name:
Bank Phone#:
U.S Driver’s
License
Employee
Authorization
Document
INS Permanent
Resident Alien
Card
Foreign National
Identity Documents
Passport
without U.S.
Visa
Passport
with U.S.
Visa
Trustee’s information must be provided in Sections 3A and 3B
Identification documents must have a reference number and photo.
Please attach photocopy.
PLACE OF BIRTH
IMMIGRATION STATUS
C. TRUST/CORPORATION/PARTNERSHIP/OTHER
D. GOVERNMENT ID (FOREIGN CITIZENS ONLY)
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A. INVESTOR/TRUSTEE
SECTION 3 : INVESTOR INFORMATION Please print name(s) in which Units are to be registered.
B. CO-INVESTOR/CO-TRUSTEE
Tax ID #:
State/Providence: Country:
Account#:
Country of
Issuance:
Bank Address:
Number for
the document
checked above:
First Name:
Middle Name:
Last Name:
Tax ID or SS#:
Street Address:
City:
State:
ZIP:
Daytime Phone#
Email address:
Date of Birth:
Employer:
Retired:
If Non-U.S. Citizen,
specify Country
of Citizenship:
First Name:
Middle Name:
Last Name:
Tax ID or SS#:
Street Address:
City:
State:
ZIP:
Daytime Phone#
Email address:
Date of Birth:
Employer:
Retired:
If Non-U.S. Citizen,
specify Country
of Citizenship:
For help completing this form please call the sales desk at 855-320-1414.
PREFERRED APARTMENT COMMUNITIES | SUBSCRIPTION AGREEMENT
Owner Signature Co-Owner Signature
Please Attach Copy Of Voided Check To This Form If Funds Are To Be Sent To A Bank
* The above services cannot be established without a pre-printed voided check. For electronic funds transfers, signatures of bank account
owners are required exactly as they appear on the bank records. If the registration at the bank differs from that on this Subscription
Agreement, all parties must sign below.
Date: Date:
(if applicable)
Name/Entity
Name/ Financial
Institution:
I authorize Preferred Apartment Communities, Inc. or its agent to deposit my distribution/dividend to my checking or savings account. This
authority will remain in force until I notify Preferred Apartment Communities, Inc. in writing to cancel. If Preferred Apartment Communities,
Inc. deposits funds erroneously into my account, they are authorized to debit my account for an amount not to exceed the amount of the
erroneous deposit.
Mailing Address:
City: State: ZIP: Phone #:
Checking
Account
Savings
Account
Brokerage
Account
ABA/Routing#:Your Account#:
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SECTION 4 : DISTRIBUTIONS Select only one; if nothing is marked the distributions will default to Mail Check (to the Address of Record)
Complete this section to elect how to receive your dividend distributions.
XXX accounts may not direct distributions without the custodian’s approval.
I hereby subscribe for Units of Preferred Apartment Communities, Inc. and elect the distribution option indicated below:
For Custodial Accounts all distributions will be sent via check directly to the Custodian as listed in Section 2
For Non-Custodial Or Non-Clearing Firm/Platform Accounts:
Credit Dividend to Custodian (including XXX) or Clearing Firm/Platform of Record
Mail Check (to the Address of Record) Cash/Direct Deposit (Please attach a pre-printed
voided check (Non-Custodian Investors only)
Xxxxx Bankrate
000 Xxxxxxxx Xxxxxxxxx
Xxx Xxxx, XX 00000
555-555-5555
Pay to the order of:
Memo:
DOLLARS
$
Generic
Bank and Trust
Date:
|:123456789 |:10987654321 |:1111
1111
Contains Security
Features. Details
on Back
Attach
Check
Here
For help completing this form please call the sales desk at 855-320-1414.
Routing
Number
Account
Number
Check
Number
PREFERRED APARTMENT COMMUNITIES | SUBSCRIPTION AGREEMENT 4/5
Once your account is established go to xxx.xxxxxxxxxxxxx.xxx/xxxxxxxx and sign up for electronic communication and
you’ll help us save trees by reducing paper.
WE INTEND TO ASSERT THE FOREGOING REPRESENTATIONS AS A DEFENSE IN ANY SUBSEQUENT LITIGATION WHERE
SUCH ASSERTION WOULD BE RELEVANT. WE HAVE THE RIGHT TO ACCEPT OR REJECT THIS SUBSCRIPTION IN WHOLE OR
IN PART, SO LONG AS SUCH PARTIAL ACCEPTANCE OR REJECTION DOES NOT RESULT IN AN INVESTMENT OF LESS THAN
THE MINIMUM AMOUNT SPECIFIED IN THE PROSPECTUS. AS USED ABOVE, THE SINGULAR INCLUDES THE PLURAL IN ALL
RESPECTS IF UNITS ARE BEING ACQUIRED BY MORE THAN ONE PERSON. THIS SUBSCRIPTION AGREEMENT AND ALL RIGHTS
HEREUNDER SHALL BE GOVERNED BY, AND INTERPRETED IN ACCORDANCE WITH, THE LAWS OF THE STATE OF NEW YORK
WITHOUT GIVING EFFECT TO THE PRINCIPLES OF CONFLICT OF LAWS.
By executing this Subscription Agreement, the subscriber is not waiving any rights under federal or state law.
I have received, read and understand the Registration Statement (Registration No. 333-211924), as modified
or amended, including the related Prospectus and Charter for this offering and annual and periodic reports
filed with the SEC (incorporated by reference into the registration statement and prospectus) wherein the
terms, conditions and risks of the offering are described and agree to be bound by the terms and
conditions.
I am purchasing Units for my/our own account.
I am in compliance with the USA PATRIOT Act and not on any governmental authority watch list.
Owner Co-Owner(a)
(b)
(c)
Form W-9: I HEREBY CERTIFY under penalty of perjury, I certify that: (i) that the taxpayer identification number shown
on the Subscription is correct (ii) that I am not subject to backup withholding because (a) I am exempt from backup
withholding, or (b) I have not been notified by the Internal Revenue Service that I am subject to backup withholding
as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to
backup withholding, and (iii) I am a U.S. citizen or other U.S. person (including a U.S. resident alien). (iv) The FATCA
code(s) entered on this for (if any) indicating that I am exempt from FATCA reporting is correct.
Certification Instructions: You must cross out item (ii) above if you have been notified by the IRS that you are currently
subject to backup withholding because you have failed to report all interest and dividends on your tax return. The
Internal Revenue Service does not require your consent to any provision of this document other than the certifications
required to avoid backup withholding.
Authorized Signature
Signature of Custodian(s) or Trustee(s) (if applicable). Current Custodian must sign if investment is for an XXX Account
(Custodian or Trustee)
SECTION 5 : SUBSCRIBER ACKNOWLEDGMENTS AND SIGNATURES
Owner Signature Co-Owner Signature
Date: Date:
Date:
(if applicable)
The undersigned hereby confirms this agreement to purchase the Units on the terms and conditions set forth
herein and acknowledges and/or represents (or in the case of fiduciary accounts, the person authorized to sign on
such subscriber’s behalf) the following: (you must initial each of the representations below)
For help completing this form please call the sales desk at 855-320-1414.
PREFERRED APARTMENT COMMUNITIES | SUBSCRIPTION AGREEMENT
The Financial Advisor must sign below to complete order. The Financial Advisor hereby represents and warrants
that he/she is duly licensed and may lawfully sell Units of Preferred Apartment Communities, Inc.
Financial Advisor
CRD:
Mailing Address:
City:
Email Address:
Broker-Dealer CRD#: Advisor#:
State: Zip:
Business Phone# Fax#:
Broker Dealer/RIA:
SECTION 6 : FINANCIAL ADVISOR INFORMATION All fields must be completed
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For help completing this form please call the sales desk at 855-320-1414.
The undersigned further represents and certifies that in connection with this subscription for Units, he/she has complied with and has followed all
applicable policies and procedures under his firm’s existing Anti-Money Laundering Program and Customer Identification Program.
Financial Advisor
Signature:
Date:
Branch Manager and /or
RIA Signature:
Date:
SECTION 7 : PAYMENT INSTRUCTIONS
Note: Cash, Cashier’s checks/official bank
checks in bearer form, foreign checks, money
orders, third party checks or traveler’s checks
will not be accepted.
SUBMISSION: Mail the ORIGINAL documents, along with your check payable to ‘‘UMB Bank N.A., Escrow Agent for
Preferred Apartment Communities, Inc.’’ to the below address. Wires are to use the below wiring instructions.
CHECKS & DOCUMENTS
UMB Bank, National
Association 0000 Xxxxx
Xxxxxxxxx, 0xx Xxxxx
Mail Stop: 1020409
Xxxxxx Xxxx, Xxxxxxxx 00000
Attention: Xxxx Xxxxxxx,
Corporate Trust
Phone: (000) 000-0000
Fax: (000) 000-0000
WIRE INSTRUCTIONS
UMB Bank, N.A.
ABA No: 000000000
Acct No: 9800006823
Acct Name: Trust
Clearance
Reference: 138242
Preferred Apt
Communities
Attn: Xxxx Xxxxxxx
Financial Advisor
Name:
RIA Submission Check this box to indicate if Broker-Dealer is taking a reduced commission. I understand that by checking the above box, I will receive
a selling commission that is equal to percent, which is less than 7%.