301 Winding Road Old Bethpage, NY 11804 212-750-0373 http://pwreit.com |  |
Power REIT
Subscription Form
7.75% Series A Cumulative Redeemable Perpetual Preferred Stock
Liquidation Preference $25.00 per Share
Investor’s Name (not required): | | |
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Brokerage Firm (for delivering shares): | | |
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Account Number at Brokerage Firm: | | |
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DTC Participant Number: | | |
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Number of Shares Being Subscribed for: | | |
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Amount Owed for Shares: | | ($25 per share) |
Paid by: | ¨ Check | OR | ¨ Wire |
| (see Subscription Option 1, below) | | (see Subscription Option 2, below) |
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| | | Date of Wire:________________ |
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| | | Fed. Ref. No.________________ |
Representations, Warranties, Agreements:
By executing and returning this form, the undersigned represents, warrants and agrees that:
(i) he/she/it is the investor, or has full power and authority to act on behalf of and bind the investor in subscribing as set forth herein and making these representations, warranties and agreements;
(ii) the shares are being offered pursuant to Power REIT’s Prospectus dated May 10, 2012 and its Prospectus Supplement dated January 23, 2014 (available athttp://pwreit.com under Investor Relations/ Preferred Stock Offering, by email toir@pwreit.com or by collect call to 212-750-0373);
(iii) the investor has had full opportunity to read and review such Prospectus and Prospectus Supplement and the additional documents they incorporate by reference; and
(iv) the information provided herein and these representations, warranties and agreements are accurate and complete, and shall remain so until the undersigned notifies Power REIT otherwise.
Contact information, if we have any questions: | | (Phone) |
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| | (Email) |
301 Winding Road Old Bethpage, NY 11804 212-750-0373 http://pwreit.com |  |
Subscription Option 1 –By Wire and Email
| Bank name | Citibank N.A., 111 Wall St., NY, NY 10043 |
| Account name | Morgan Stanley and Co. Incorporated |
| For further credit: | Power REIT |
| 2. | Execute the subscription form (being sure to include the date of the wire and the wire Fed. Ref. No.) and email the form toir@pwreit.com. |
Subscription Option 2 –By Check and Mail
| 1. | Execute the subscription form, enclose a check made out toPower REIT, and mail the form and the check to: |
C/O Morgan Stanley Smith Barney
Attention: Dianne Zhilitsky
400 Campus Drive
Florham Park NJ 07932
For questions please email:ir@pwreit.com