For Client Use Clause Samples
For Client Use. A. Subscription Amount: I hereby subscribe for $_____________ (minimum $25,000).
B. Accreditation: Please select one of the following.
1. I am an accredited investor under paragraph _____ of Exhibit I on page 8. OR 2. ___ I am a non-accredited investor. If you selected #2 above, please fill in the Prospective Purchaser Questionnaire (Exhibit II, page 9) and, if applicable, the Purchaser Representative Questionnaire (Exhibit II-1, page 11).
For Client Use. A. Subscription Amount: I hereby subscribe for $ (minimum $25,000).
B. Accreditation: I am an accredited investor under paragraph of Exhibit I on page B-11.
C. New York Individual Investor or Trustee Status [FOR INDIVIDUAL INVESTORS ONLY]: Please select one of the following.
1. o I am an individual investor executing this Subscription Agreement in the State of New York.
2. o I am an individual trustee executing this Subscription Agreement in the State of New York on behalf of a trust.
3. o I am executing this Subscription Agreement outside of the State of New York. If you selected #1 or #2 above, please read and sign the New York State Power of Attorney (Exhibit III, page B-13) and have your signature notarized.
For Client Use. A. Subscription Amount: I hereby subscribe for $ (minimum $25,000).
B. Accreditation: Please select one of the following.
1. I am an accredited investor under paragraph of Exhibit I on page B-11.
2. I am a non-accredited investor. If you selected #2 above, please fill in the Prospective Purchaser Questionnaire (Exhibit II, page B-12) and, if applicable, the Purchaser Representative Questionnaire (Exhibit II-1, page B-14).
C. Benefit Plan Investor Status: The subscriber is ___ or is not ___ a “Benefit Plan Investor” as defined in paragraph 7 above.
D. New York Individual Investor or Trustee Status [FOR INDIVIDUAL INVESTORS ONLY]: Please select one of the following.
1. I am an individual investor executing this Subscription Agreement in the State of New York.
2. I am an individual trustee executing this Subscription Agreement in the State of New York on behalf of a trust.
3. I am executing this Subscription Agreement outside of the State of New York. If you selected #1 or #2 above, please read and sign the New York State Power of Attorney (Exhibit III, page B-20) and have your signature notarized.
For Client Use. A. Subscription Amount: I hereby subscribe for $ (minimum $25,000).
B. Accreditation: Please complete and initial the following: [initial here] I am an “accredited investor” and a “qualified eligible person” under Section (1) and paragraph of Section (2) of Exhibit I on page B-11.
For Client Use. A. Subscription Amount: I hereby subscribe for $ (minimum $25,000; $10,000 for current limited partners and Plans as defined in the Memorandum).
B. Accreditation: Please select one of the following.
1. ___I am an accredited investor under paragraph ___of Exhibit I on page Error! Bookmark not defined.
2. ___I am a non-accredited investor. If you selected #2 above, please fill in the Prospective Purchaser Questionnaire (Exhibit II, page 11 and, if applicable, the Purchaser Representative Questionnaire (Exhibit II-1, page 13).
For Client Use. A. Subscription Amount: I hereby subscribe for $_____________ (minimum $25,000).
B. Accreditation: I am an accredited investor under paragraph _______ of Exhibit I on page B-8.
C. Benefit Plan Investor Status: The subscriber is ___ or is not ___ a “Benefit Plan Investor” as defined in Section 7 above.
For Client Use. A. Subscription Amount: I hereby subscribe for $_____________ (minimum $25,000).
B. Accreditation: Please select one of the following.
1. I am an accredited investor under paragraph _______ of Exhibit I on page B-9.
2. I am a non-accredited investor. If you selected #2 above, please fill in the Prospective Purchaser Questionnaire (Exhibit II, page B-10) and, if applicable, the Purchaser Representative Questionnaire (Exhibit II-1, page B-12).
C. Benefit Plan Investor Status: The subscriber is ___ or is not ___ a “Benefit Plan Investor” as defined in Section 7 above.
For Client Use. A. SUBSCRIPTION AMOUNT: I hereby subscribe for $___________ (minimum $25,000).
B. ACCREDITATION: Please select one of the following.
1. I am an accredited investor under paragraph __ of Exhibit I on page 8. OR 2. ___ I am a non-accredited investor. If you selected #2 above, please fill in the Prospective Purchaser Questionnaire (Exhibit II, page C- 9 and, if applicable, the Purchaser Representative Questionnaire (Exhibit II-1, page C-11).
For Client Use
