EX-99
Investors Real Estate Trust
SUBSCRIPTION AGREEMENT
AMOUNT $__________________ NUMBER OF COMMON SHARES ________________
OWNERSHIP Name(s) ______________________________________________________________________
REGISTRATION: (investor(s) names)
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.
_______________________________________________________________________________________________________________
MAILING ADDRESS Name(s)_________________________________________________________________________
FOR CORRES- _
PONDENCE AND CASH Address_________________________________________________________________________
DISTRIBUTIONS 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
_________________________________________________________________________________________________
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) _____________________________________________
_________________________________________________________________________________________________
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.
_________________________________________________________________________________________________
SOLICITING Firm ______________________________________________________________________
DEALER
ENDORSEMENT: Registered Representative _______________________________ Phone ___________
Address ___________________________________________________________________
Dealer Authorized Signature _______________________________________________
NOTE: Checks to be made payable to: INVESTORS REAL ESTATE TRUST, 00 XXXXX XXXX XX., MINOT, ND 58701
_________________________________________________________________________________________________
Accepted by: INVESTORS REAL ESTATE TRUST
By: XXXXX-XXXXX & ASSOCIATES Date _________________
(Advisor)
