Common use of Individuals Clause in Contracts

Individuals. Please complete the following information if you are investing as an individual or jointly with another individual: Name: ________________________________________________________. Spouse's full name, if jointly held: __________________________________. Date of birth: ___________________________________________________. Citizenship: ____________________________________________________. Permanent home address: __________________________________________ __________________________________________. Marital status: ___________________________________________________. Address for notices: _______________________________________________ _______________________________________________. Home telephone number: ___________________________________________. Business telephone number: _________________________________________. Social security or tax identification number: ____________________________. Occupation or profession: __________________________________________. Are you purchasing Units for your own account? Yes No If you are not purchasing Units for your own account, please complete the following: (a) capacity in which you are purchasing Units (e.g.,: agent, representative, administrator, trustee, etc.) ________________________________________________________. (b) name, address and home and business telephone numbers of person(s) you represent: ________________________________________________________. ________________________________________________________. (c) Please attach evidence of authority authorizing you to represent each person.

Individuals. Please complete the following information if you are investing as an individual or jointly with another individual: Name: ________________________________________________________. Spouse's full name, if jointly held: __________________________________. Date of birth: ___________________________________________________. Citizenship: ____________________________________________________. Permanent home address: __________________________________________ __________________________________________. Marital status: ___________________________________________________. Address for notices: _______________________________________________ ________________________________________________ Marital status: ________________________. Home telephone numberAddress for notices: ________________________ ___________________________________________. Business _____ Home telephone number: ________________________. Business telephone number: ________________________. Social security or tax identification number: ____________________________. Occupation or profession: __________________________________________. Are you purchasing Units Shares for your own account? Yes No If you are not purchasing Units Shares for your own account, please complete the following: (a) capacity in which you are purchasing Units Shares (e.g.,: agent, representative, administrator, trustee, etc.) __________________________________________________________. (b) name, address and home and business telephone numbers of person(s) you represent: ________________________________________________________. __ __________________________________________________________. (c) Please attach evidence of authority authorizing you to represent each person.

Individuals. Please complete the following information if you are investing as an individual or jointly with another individual: Name: ________________________________________________________. _ Spouse's full name, if jointly held: __________________________________. Date of birth: ___________________________________________________. __ Citizenship: ____________________________________________________. _ Permanent home address: __________________________________________ __________________________________________. _ Marital status: ___________________________________________________. __ Address for notices: _______________________________________________ _______________________________________________. _ Home telephone number: ___________________________________________. _ Business telephone number: _________________________________________. _ Social security or tax identification number: ____________________________. _ Occupation or profession: __________________________________________. _ Are you purchasing Units Shares for your own account? Yes __________ No __________ If you are not purchasing Units Shares for your own account, please complete the following: (a) capacity in which you are purchasing Units Shares (e.g.,: agent, representative, administrator, trustee, etc.) ________________________________________________________. (b) name, address and home and business telephone numbers of person(s) you represent: _________________________________________________________. _________________________________________________________. (c) Please attach evidence of authority authorizing you to represent each person.

Individuals. Please complete the following information if you are investing as an individual or jointly with another individual: Name: ________________________________________________________. Spouse's full name, if jointly held: __________________________________. Date of birth: ___________________________________________________. Citizenship: ____________________________________________________. Permanent home address: __________________________________________ __________________________________________. Marital status: ___________________________________________________. Address for notices: _______________________________________________ ________________________________________________ Marital status: ________________________. Home telephone numberAddress for notices: ________________________ ___________________________________________. Business _____ Home telephone number: ________________________. Business telephone number: ________________________. Social security or tax identification number: ____________________________. Occupation or profession: __________________________________________. Are you purchasing Units Shares for your own account? Yes No If you are not purchasing Units for your own account, please complete the following: (a) capacity in which you are purchasing Units (e.g.,: agent, representative, administrator, trustee, etc.) __________________________________________________________. (b) name, address and home and business telephone numbers of person(s) you represent: ________________________________________________________. __ __________________________________________________________. (c) Please attach evidence of authority authorizing you to represent each person.

Individuals. Please complete the following information if you are investing as an individual or jointly with another individual: Name: ________________________________________________________. Spouse's full name, if jointly held: __________________________________. Date of birth: ___________________________________________________. Citizenship: ____________________________________________________. Permanent home address: __________________________________________ __________________________________________. Marital status: ___________________________________________________. Address for notices: _______________________________________________ _______________________________________________. Home telephone number: ___________________________________________. Business telephone number: _________________________________________. Social security or tax identification number: ____________________________. Occupation or profession: __________________________________________. Are you purchasing Units Shares for your own account? Yes No If you are not purchasing Units Shares for your own account, please complete the following: (a) capacity in which you are purchasing Units Shares (e.g.,: agent, representative, administrator, trustee, etc.) ________________________________________________________. (b) name, address and home and business telephone numbers of person(s) you represent: ________________________________________________________. ________________________________________________________. (c) Please attach evidence of authority authorizing you to represent each person.

Individuals. Please complete the following information if you are investing as an individual or jointly with another individual: Name: ________________________________________________________. Spouse's ’s full name, if jointly held: __________________________________. Date of birth: ___________________________________________________. Citizenship: ____________________________________________________. Permanent home address: __________________________________________ __________________________________________. Marital status: ___________________________________________________. Address for notices: _______________________________________________ ________________________________________________ Marital status: ________________________. Home telephone numberAddress for notices: ________________________ ___________________________________________. Business _____ Home telephone number: ________________________. Business telephone number: ________________________. Social security or tax identification number: ____________________________. Occupation or profession: __________________________________________. Are you purchasing Units Shares for your own account? Yes No If you are not purchasing Units Shares for your own account, please complete the following: (a) capacity in which you are purchasing Units Shares (e.g.,: agent, representative, administrator, trustee, etc.) __________________________________________________________. (b) name, address and home and business telephone numbers of person(s) you represent: ________________________________________________________. ________________________________________________________. (c) Please attach evidence of authority authorizing you to represent each person.

Individuals. Please complete the following information if you are investing as an individual or jointly with another individual: Name: ________________________________________________________. _ Spouse's full name, if jointly held: __________________________________. _ Date of birth: ___________________________________________________. _ Citizenship: ____________________________________________________. _ Permanent home address: __________________________________________ __________________________________________. _ Marital status: ___________________________________________________. _ Address for notices: _______________________________________________ _______________________________________________. _ Home telephone number: ___________________________________________. _ Business telephone number: _________________________________________. _ Social security or tax identification number: ____________________________. _ Occupation or profession: __________________________________________. _ Are you purchasing Units for your own account? Yes No If you are not purchasing Units for your own account, please complete the following: (a) capacity in which you are purchasing Units (e.g.,: agent, representative, administrator, trustee, etc.) ________________________________________________________. (b) name, address and home and business telephone numbers of person(s) you represent: ________________________________________________________. ________________________________________________________. (c) Please attach evidence of authority authorizing you to represent each person.

Individuals. Please complete the following information if you are investing as an individual or jointly with another individual: Name: ___________________________________________________________________. Spouse's ’s full name, if jointly held: ______________________________________________. Date of birth: :______________________________________________________________. Citizenship: _______________________________________________________________. Permanent home address: _____________________________________________________ _____________________________________________________. Marital status: ______________________________________________________________. Address for notices: _________________________________________________________ _________________________________________________________. Home telephone number: ______________________________________________________. Business telephone number: ____________________________________________________. Social security or tax identification number: ____________________________. Occupation or profession: __________________________________________. Are you purchasing Units for your own account? Yes No If you are not purchasing Units for your own account, please complete the following: (a) capacity in which you are purchasing Units (e.g.,: agent, representative, administrator, trustee, etc.) ________________________________________________________. (b) name, address and home and business telephone numbers of person(s) you representOccupation or profession: ________________________________________________________. Are you purchasing Units for your own account? Yes _________ No _________________________________________________ If you are not purchasing Units for your own account, please complete the following: (a) capacity in which you are acquiring Shares (e.g., agent, representative, administrator, trustee, etc.) (b) name, address and home and business telephone numbers of person(s) you represent: (c) Please attach evidence of authority authorizing you to represent each person.