Express Interest | IPO ANGEL INVESTORS

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NON-BINDING INVESTMENT INTENT FORM

INTENT TO INVEST IN: PATENTVEST Inc. Series A Funding Round*

TOTAL INVESTMENT AMOUNT

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Legal Name of Investor

SS # or Taxpayer ID No.

Angel Group Investor Affiliation (if any)

Angel Group Contact

Tax Purpose Address-Street

Contact Telephone

E-mail Address

Name of Co-Subscriber (if any)

SS # or Taxpayer ID No. (if any)

Contact Phone

Alternate E-mail Address (if any)

Print Name of Signatory and Title (if any)

Print Name of Co-Signatory and Title (if any)

I hereby affirm that at the time of the completion of this Investment Intent form I/We meet the requirements of an accredited investor under SEC Rule 501 Section D or Canadian Regulation 45-106. (initial here)

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* Investors will complete a standard Investor Certification document prior to investment acceptance