Common use of Form instructions Clause in Contracts

Form instructions. The information in section 5 must be completed before the purchaser completes and signs the form. The purchaser must sign this form. Each of the purchaser and the issuer or selling security holder must receive a copy of this form signed by the purchaser. The issuer or selling security holder is required to keep a copy of this form for 8 years after the distribution. SCHEDULE D MINIMUM INVESTMENT CERTIFICATE To Be Completed By All Subscribers Subscribing For $150,000 Or More of Shares All capitalized terms herein, unless otherwise defined, have the meanings ascribed thereto in the Subscription Agreement. The purpose of this Certificate is to assure the Corporation that each Subscriber will meet certain requirements of NI 45-106. The Corporation will rely on the information contained in this Certificate for the purposes of such determination. In connection with the purchase by the undersigned Subscriber of the Shares of the Corporation, the Subscriber, on its own behalf and on behalf of each disclosed principal for whom the Subscriber is acting (collectively, the “Subscriber”), hereby represents, warrants, covenants and certifies to the Corporation (and acknowledges that the Corporation and its counsel are relying thereon) that:

Form instructions. The information in section 5 must be completed before the purchaser completes and signs the form. The purchaser must sign this form. Each of the purchaser and the issuer Issuer or selling security holder must receive a copy of this form signed by the purchaser. The issuer Issuer or selling security holder is required to keep a copy of this form for 8 years after the distribution. SCHEDULE D MINIMUM INVESTMENT CERTIFICATE To Be Completed By All Subscribers Subscribing For $150,000 Or More of Shares the Units All capitalized terms herein, unless otherwise defined, have the meanings ascribed thereto in the Subscription Agreement. The purpose of this Certificate is to assure the Corporation Trust that each Subscriber will meet certain requirements of NI 45-106. The Corporation Trust will rely on the information contained in this Certificate for the purposes of such determination. In connection with the purchase by the undersigned Subscriber of the Shares Units of the CorporationTrust, the Subscriber, on its own behalf and on behalf of each disclosed principal for whom the Subscriber is acting (collectively, the “Subscriber”), hereby represents, warrants, covenants and certifies to the Corporation Trust (and acknowledges that the Corporation Trust and its counsel are relying thereon) that: