Subscription Agreement

10/17/2013

I, _________(1)_________, do hereby subscribe to purchase
__(2)__ shares of Stock of ___________(3)___________, a
___(4)___ corporation (the "Company"), Par Value of which is
$___(5)___, and for which I agree to pay $___(6)___ per share,
for a total purchase price of $___(7)____.

I agree that my failure to pay any installments as may be
required in a promissory note accompanying this subscription
agreement is a default of my obligation hereunder, and if
those installments are not timely paid, (i) the Company may
immediately terminate this Agreement; (ii) my right, title and
interest in all the stock purchased hereby shall be null and
void; (iii) the Company may cancel all shares of stock then
held by me; (iv) I shall forfeit any monies which have been
paid to the Company hereunder; and (v) I shall be deemed to
have waived any and all claims or cause(s) of action which I
may have against the Company.

DATED: ________(8)___________

       ________(9)___________

Sworn to and subscribed before me this _(10)_ day
of________(11)_______, 20_(12)_.

(SEAL)

_____________(13)______________
Notary Public

My Commission Expires:

_________(14)____________

ACCEPTED by and for the Corporation:

_____________(15)______________
President

DATED: _________(16)___________

Notice

The information in this document is designed to provide an outline that you can follow when formulating business or personal plans. Due to the variances of many local, city, county and state laws, we recommend that you seek professional legal counseling before entering into any contract or agreement.

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