EX-99
Investors Real Estate Trust
SUBSCRIPTION AGREEMENT
AMOUNT $__________________ NUMBER OF COMMON SHARES ________________
OWNERSHIP Name(s)_________________________________________________________
REGISTRATION: 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 FOR CORRESPONDENCE AND CASH DISTRIBUTIONS
Name(s)_______________________________________________________________________
Address_______________________________________________________________________
City ____________________________________ State __________ Zip ____
(If different from above)
______________________________________________________________________________
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 DEALER ENDORSEMENT:
Firm _________________________________________________________
Registered Representative _______________________ Phone ______
Address ______________________________________________________
Dealer Authorized Signature __________________________________
NOTE: Checks to be made payable to: INVESTORS REAL ESTATE TRUST, 00 XXXXX
XXXX XX.,
XXXXX, XX 00000
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Accepted by: INVESTORS REAL ESTATE TRUST
________________________________
By: XXXXX-XXXXX & ASSOCIATES Date _________________
(Advisor)
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