Please Print Name definition

Please Print Name. Address: Contract #:

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Please Print Name. Dated: , 200__ * If you are executing this Questionnaire on behalf of a corporation (or other legal entity) or as an executor or custodian or in any other representative capacity, please state the exact title of the capacity in which you are acting. Before you complete the Questionnaire, please carefully review the following definitions of various terms used in the Questionnaire.

Please Print Name. Signature: _________________________________ Date: _________________________________ If the undersigned is a corporation, partnership or other legal entity: Please Print Name of Entity: _________________________________ By (Please Print Name): _________________________________ Signature: _________________________________ Title: _________________________________ Date: _________________________________ The Debentures will not be sold in violation of the Securities Act of 1933, as amended, or the Securities Exchange Act of 1934, as amended, or in violation of any securities laws of any state and then only in compliance with Rule 144A under the Securities Act of 1933, to the extent applicable. Specifically, resales may only be made to Qualified Institutional Buyers as such term is defined in Rule 144A, or otherwise as allowed by applicable state and federal securities laws at such time. The categories of Accredited Investor include:

Examples of Please Print Name in a sentence

• Signature Please Print Name It is the policy of Prime Source Mortgage, Inc.

• Date: _____________ Date: _____________ Signature of Subscriber Signature of Co-Subscriber Name of Subscriber [Please Print] Name of Co-Subscriber [Please Print] Address of Subscriber Address of Co-Subscriber SSN or Tax ID of Subscriber State of incorporation/corporate domicile (if different than the address listed above): _________________________.

• SUBSCRIBER** Date: _____________ CO-SUBSCRIBER** Date: _____________ Signature of Subscriber Signature of Co-Subscriber Name of Subscriber [Please Print] Name of Co-Subscriber [Please Print] Address of Subscriber Address of Co-Subscriber SSN or Tax ID of Subscriber State of incorporation/corporate domicile (if different than the address listed above): _________________________.

• Dated: (Signature) (Please Print Name) (Spouse’s Signature, if any) (Please Print Spouse’s Name) Instructions to Purchaser: Please do not fill in any blanks other than the signature line.

• Dated: _____________________ STOCKHOLDER (Signature) (Please Print Name) (Spouse’s or Domestic Partner’s Signature) (Please Print Spouse’s or Domestic Partner’s Name) Instruction: Please do not fill in any blanks other than the signature line.

• Dated: _____________________, 2002 MANAGER ____________________________________________ (Signature) ____________________________________________ (Please Print Name) ____________________________________________ (Spouse's Signature) ____________________________________________ (Please Print Spouse's Name) INSTRUCTION: Please do not fill in any blanks other than the signature line.

• If applicable, proof of my right to purchase the shares pursuant to the Plan and the Agreement is enclosed.2 Dated: (Signature) (Signature)3 (Please Print Name) (Please Print Name) (Full Address) (Full Address) 1 If more than one name is listed, please specify whether the owners will hold the shares as community property or as joint tenants with the right of survivorship.

• Signature ▇▇▇▇▇▇ ▇▇▇▇▇, risk Management and Compliance (Please Print Name & Title) ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇.

• Date: Click or tap to enter a date. Please Print Name: Click or tap here to enter text.

• Notary Public (Please Print Name After Signature) My Commission Expires: [NOTARIAL SEAL] WITNESS: By:_ ▇▇ ▇.

More Definitions of Please Print Name

Please Print Name. Child’s D.O.B ( / / )

Please Print Name. Date: Signature: Date: Signature: Date:

Please Print Name. Signature: _________________________________ Date: _________________________________

Please Print Name. Phone: ( ) - ▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ Date:.

Please Print Name. Clearly: Signed: Dated:

Please Print Name. Name: ________________________ Address: ______________________ ______________________ Email: ________________________ Social Security No. ______________ Date: Please Sign ___________________________ (Signature) The Purchaser is [ ] an accredited investor or [ ] an investor that is not a U.S. Person and is purchasing the Shares pursuant to Regulation S of the Securities and Exchange Commission. Please provide a copy of the Purchaser’s passport or license ACCEPTED: Dated: , 2025 By: ▇▇▇▇▇ ▇▇▇, CEO Address: ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ Riverside, California 92507 Email: ▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ Date: Number of Shares Purchased: Purchase Price Per Share: Purchase Price: ``