IRA. IF MORE THAN ONE SUBSCRIBER, EACH SUBSCRIBER MUST S▇▇▇. INDIVIDUAL SUBSCRIBERS MUST COMPLETE PAGE C-11. SUBSCRIBERS WHICH ARE ENTITIES MUST COMPLETE PAGE C-12. EXECUTION BY NATURAL PERSONS -------------------------------------------------------------------------------- Exact Name in Which Title is to be Held ----------------------------------- ----------------------------------- Name (Please Print) Name of Additional Purchaser ----------------------------------- ----------------------------------- Residence: Number and Street Address of Additional Purchaser ----------------------------------- ----------------------------------- City, State and Zip Code City, State and Zip Code ----------------------------------- ----------------------------------- Social Security Number Social Security Number
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Sources: Subscription Agreement (Creative Solutions With Art, Inc.)
IRA. IF MORE THAN ONE SUBSCRIBER, EACH SUBSCRIBER MUST S▇▇▇SIGN. INDIVIDUAL SUBSCRIBERS MUST COMPLETE PAGE C-1115. SUBSCRIBERS WHICH ARE ENTITIES MUST COMPLETE PAGE C-1216. EXECUTION BY NATURAL PERSONS -------------------------------------------------------------------------------- Exact Name in Which Title is to be Held ----------------------------------- ----------------------------------- --------------------------------------- --------------------------------------- Name (Please Print) Name of Additional Purchaser ----------------------------------- ----------------------------------- --------------------------------------- --------------------------------------- Residence: Number and Street Address of Additional Purchaser ----------------------------------- ----------------------------------- --------------------------------------- --------------------------------------- City, State and Zip Code City, State and Zip Code ----------------------------------- ----------------------------------- --------------------------------------- --------------------------------------- Social Security Number Social Security Number
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IRA. IF MORE THAN ONE SUBSCRIBER, EACH SUBSCRIBER MUST S▇▇▇. N. INDIVIDUAL SUBSCRIBERS MUST COMPLETE PAGE C-11. 8 SUBSCRIBERS WHICH ARE ENTITIES MUST COMPLETE PAGE C-129. EXECUTION BY NATURAL PERSONS -------------------------------------------------------------------------------- Exact Name in Which Title is to be Held ----------------------------------- -------------------------------- ----------------------------------- Name (Please Print) Name of Additional Purchaser ----------------------------------- Subscriber -------------------------------- ----------------------------------- Residence: Number and Street Address of Additional Purchaser ----------------------------------- Subscriber -------------------------------- ----------------------------------- City, State and Zip Code City, State and Zip Code ----------------------------------- -------------------------------- ----------------------------------- Social Security Number Social Security Number
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