721 UPREIT PROS | CASH OR REINVESTMENT ELECTION WORKSHEET Educational only, not tax, legal or investment advice. Keep account numbers and completed documents private. 1. Exact issuer, interest, class and registered owner: 2. Current governing documents and plan version: 3. Current election and evidence (do not assume a default): 4. Permitted choices, including whether partial reinvestment is available: 5. Security purchased, price method, fees and new lot dates: 6. Request deadline, acceptance date and first affected payment: 7. Estimated payment, household spending, tax reserve and other cash sources: 8. Stress test: payment reduced 25%, then zero. Remaining cash shortfall: 9. Existing lots: redemption terms and any holding-period treatment: 10. First statement: gross payment, deductions, cash, reinvestment, price, quantity: 11. Tax documents and basis records to preserve: 12. Unresolved question, responsible person and follow-up date: A request is not acceptance. A cash election is not a principal withdrawal. No promised payment, liquidity, tax result or investment return.