0001654954-16-003352 Sample Contracts

PURCHASER QUESTIONNAIRE AND SUBSCRIPTION AGREEMENT Common Stock of HC Government Realty Trust, Inc.
Purchaser Questionnaire and Subscription Agreement • November 2nd, 2016 • HC Government Realty Trust, Inc. • Real estate investment trusts • Maryland

This Subscription Agreement relates to my/our agreement to purchase ____ shares of the common stock, $0.001 par value (the “Shares”) to be issued by HC Government Realty Trust, Inc., a Maryland corporation (the “REIT”), for a purchase price of $10.00 per Share, and a total purchase price of $______________ (“Subscription Price”), subject to the terms, conditions, acknowledgments, representations and warranties stated herein and in the Final Offering Circular for the sale of the Shares, dated ____________, 2016, as supplemented or amended (collectively, the “Circular”). Capitalized terms used but not defined herein shall have the meanings given to them in the Circular.

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