Distribution Information. If you select more than one option you must indicate the percentage of your distribution to be applied to each option and the sum of the allocations must equal 100%. If you do not complete this section, distributions will be paid to the registered owner at the address in Section 8 above. IRA accounts may not direct distributions without the custodian’s approval. Distributions may be funded from borrowings, offering proceeds, or proceeds from the sale of assets, which may constitute a return of capital and significantly reduce the amount of capital available for investment by Flat Rock Opportunity Fund. I (we) elect to participate in the Fund's Distribution Reinvestment Plan • All dividends and capital gains will be reinvested unless otherwise indicated below Send distributions via check to investor’s home address (or for Qualified Plans to the address listed in Section 7.) Name: Address: Send distributions via check to the alternate payee listed below (not available for Qualified Plans without custodial approval) City: State: Zip Code: Account Number: Direct Deposit: (Attach Voided Check) I (we) authorize the Fund, or its agent, DST Systems, Inc. by or through a third party provider to deposit my distribution/dividend to my checking or savings account. This authority will remain in force until I notify the Fund in writing to cancel it. If the Fund deposits funds erroneously into my account, they are authorized to debit my account for an amount not to exceed the amount of the erroneous deposit. The above services cannot be established without a pre-printed voided check. For electronic funds transfers, signatures of bank account owners are required exactly as they appear on the bank records. If the registration at the bank differs from that on this Subscription Agreement, all parties must sign below. (not available for custodial held accounts without the custodian’s approval) Financial Institution Name: ABA/Routing Number: Account Number:
Appears in 1 contract
Sources: Subscription Agreement
Distribution Information. If you select more than one option you must indicate the percentage of your distribution to be applied to each option and the sum of the allocations must equal 100%. If you do not complete this section, distributions will be paid to the registered owner at the address in Section 8 4 above. IRA ▇▇▇ accounts may not direct distributions without the custodian’s approval. Distributions may be funded from borrowings, offering proceeds, or proceeds from the sale of assets, which may constitute a return of capital and significantly reduce the amount of capital available for investment by Flat Rock Opportunity Fund. I (we) elect to participate in the Fund's Distribution Reinvestment Plan • All dividends and capital gains will be reinvested unless otherwise indicated below Send distributions via check to investor’s home address (or for Qualified Plans to the address listed in Section 7.5) Name: Address: Send distributions via check to the alternate payee listed below (not available for Qualified Plans without custodial approval) Name: Address: City: State: Zip Code: Account Number: Direct Deposit: (Attach Voided Check) I (we) I/we authorize the Fund, or its agent, DST Systems, Inc. by or through a third party provider to deposit my distribution/dividend to my checking or savings account. This authority will remain in force until I notify the Fund in writing to cancel it. If the Fund deposits funds erroneously into my account, they are authorized to debit my account for an amount not to exceed the amount of the erroneous deposit. The above services cannot be established without a pre-printed voided check. For electronic funds transfers, signatures of bank account owners are required exactly as they appear on the bank records. If the registration at the bank differs from that on this Subscription Agreement, all parties must sign below. (not available for custodial held accounts without the custodian’s approval) Financial Institution Name: ABA/Routing Number: Account Number:
Appears in 1 contract
Sources: Subscription Agreement