Exhibit 4.02
SUBSCRIPTION AGREEMENT
ISECURETRAC CORP.
0000 Xxxxx 000 xx Xxxxxx
Xxxxx, XX 00000
Ladies and Gentlemen:
The undersigned hereby applies to ISECURETRAC CORP., a Delaware corporation
(the "Corporation"), to purchase ____________ shares (the "Shares") of the
Corporation's common stock, par value $.001 per share (the "Common Stock"), at a
purchase price of $_____ per share, or an aggregate purchase price of
$__________, such purchase price and Shares to be delivered upon the execution
and delivery hereof.
1. Representations and Warranties of the Undersigned.
The undersigned hereby represents and warrants to the Corporation as
follows:
a. The undersigned has received and read and understands this
Subscription Agreement (this "Agreement"), as well as the
Corporation's Prospectus dated _________, 2002 (the "Prospectus"). The
undersigned's domicile is in the State of _______________, and the
undersigned or its signatory is over 18 years of age.
b. No representations or warranties have been made to the undersigned by
the Corporation or any agent of the Corporation, other than as set
forth in this Agreement or in the Prospectus.
c. The undersigned has full power and authority to make the
representations referred to in this Agreement, to execute and deliver
this Agreement and to purchase the Shares.
d. The undersigned's authorization, execution, delivery, and performance
of this Agreement do not conflict with any other agreement or
arrangement to which the undersigned is a party or by which the
undersigned is bound.
e. The undersigned is aware of the Corporation's business affairs and
financial condition, including the fact that the Corporation has only
a limited financial and operating history and the undersigned has
acquired sufficient information about the Corporation to reach an
informed and knowledgeable decision to acquire an interest in the
Corporation.
f. The undersigned acknowledges that this Agreement may be accepted or
rejected, in whole or in part, by the Corporation in its sole
discretion, and that the subscription proceeds will be returned to the
undersigned upon any such rejection.
g. The undersigned is purchasing for investment and not with a view
toward distribution of all or any part of the Shares.
h. The undersigned hereby agrees to indemnify and hold harmless the
Corporation and each director, officer or employee thereof from and
against any and all loss, damage or liability due to or arising out of
a breach of any of the foregoing representations and warranties of the
undersigned.
2. Survival of Agreements, Representations and Warranties, Etc.
All agreements, representations and warranties contained herein or made in
writing by or on behalf of the Corporation in connection with the transactions
contemplated by this Agreement shall survive the execution and delivery
of this Agreement, any investigation at any time made by the undersigned or on
the undersigned's behalf, and the sale and purchase of the Shares and payment
therefor.
3. Miscellaneous.
This Agreement may be executed in any number of counterparts, each of which
shall be an original but all of which taken together shall constitute one
agreement. Neither this Agreement nor any term hereof may be changed, waived,
discharged or terminated orally, but only with the written consent of the
undersigned and the Corporation. This Agreement shall be governed by and
construed under the laws of the State of Nebraska (without giving effect to any
conflict of laws provisions). This Agreement sets forth the entire agreement of
the parties with respect to the subject matter hereof.
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THE INDIVIDUAL INVESTOR SIGNATURE PAGE
FOR ISECURETRAC CORP. SUBSCRIPTION AGREEMENT
Date:_________________, 200_____
Number of Shares Subscribed for: __________ Amount of Subscription: $__________________
___________________________________________ ___________________________________________
Name of Individual Social Security No.
___________________________________________ ___________________________________________
Street Address Date of Birth
___________________________________________ __________________ _______________________
City State Zip Code Home Phone Business Phone
Manner in which Shares are to be held (check one):
/ / Individual Ownership / / Community Property
/ / Tenants-in-Common / / Separate Property
/ / Joint Tenant with Right of Survivorship / / Other (please specify)
________________________________
Signature
Accepted this ___ day of __________, 200_.
ISECURETRAC CORP.
By: ____________________________
THE ENTITY SIGNATURE PAGE
FOR
ISECURETRAC CORP.
SUBSCRIPTION AGREEMENT
Date:_________________, 200_____________
Number of Shares Subscribed for: _________ Amount of Subscription: $___________________
__________________________________________ ____________________________________________
Name of Corporation or Entity Federal Tax Identification No.
__________________________________________ ____________________________________________
Address State of Incorporation or Formation
__________________________________________ ___________________ _______________________
City State Zip Code Phone Fax
Manner in which Shares are to be held (check one):
/ / Partnership / / Limited Liability Company
/ / Corporation / / Limited Liability Partnership
/ / Trust / / Other (please specify)_____________
_________________________________
Signature
_________________________________
Title
Accepted this ___ day of __________, 200_.
ISECURETRAC CORP.
By: ____________________________
