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Utopia Communities™️ Equity Holders Form

Name:

Name of Company:

Who is Receiving the Equity?

Who is Receiving the Equity?
A
B

URL of Company:

Work Email:

Other Email:

Work Phone:

Social Security #:

Your Title (Position) with UTO™️:

Front of Your ID:

Are you aware that your shares may be dilluted with Company Growth, Changing Circumstances, or Other Factors:

Are you aware that your shares may be dilluted with Company Growth, Changing Circumstances, or Other Factors:
A
B
C

Select how you will be contributing to Utopia Communities™️ (can select multiple):

Select how you will be contributing to Utopia Communities™️ (can select multiple):

Your Bank Name:

Your Bank Account #:

Your Bank Routing #:

Other Phone:

Home Address:

Back of Your ID:

Are you aware that Utopia Communities™️ owns P***City™️ & allocates it's budget? For these reasons, dividends might be inconsistent, although you are entitled to request 2 dividends per month, with a guaranteed minimum of $10 USD per, paid out within 7 business days upon request, given you have proof that you did work.

Are you aware that Utopia Communities™️ owns P***City™️ & allocates it's budget? For these reasons, dividends might be inconsistent, although you are entitled to request 2 dividends per month, with a guaranteed minimum of $10 USD per, paid out within 7 business days upon request, given you have proof that you did work.
A
B
C

Please elaborate on what you will contribute to Utopia Communities™️:

How many shares do you think you own ($3 Par Value, 100B outstanding):

What % of Utopia Communities™️ OR the Utopia Communities™️ Subsidiary do you think you own:

Which Subsidiary are you associated with:

Preferred Method of Payment: