ex10-1.htm


    Exhibit
10.1

    


    SUBSCRIPTION
FORM FOR OTHER THAN INDIVIDUAL

    


    Purchasers
of shares of Silver Star Capital Holdings, Inc., other than individuals, must
complete this form for the proper entity that will hold title to the
shares.  Send this completed subscription agreement along with a wire
transfer, check or money order for their total payment, payable only
to:

    


    SILVER STAR CAPITAL HOLDINGS,
INC

    2731
Silver Star Road

    Suite
200

    Orlando,
Florida 32808-3935

    


    If and
when accepted by us,
this  subscription  agreement  shall  constitute  a  subscription
for shares  of  our common  stock
..  An  accepted  copy  of  this  agreement  will  be  returned  to  you  as  your  receipt,  and
certificates for your stock  will be issued to you shortly
thereafter.

    


    Method of
payment: [   ] Check, [   ] Money Order,
[   ] Wire Transfer

    payable
only to: “Silver Star Capital Holdings, Inc.”

    


    Wire
Transfer Instructions:

    Bank:
Bank of America

    Address:
Orlando, Florida

    ABA:
XXXXXXXXX

    Account
Name: Silver Star Capital Holdings, Inc.

    Account
Number: XXXX XXXX XXXX

    Reference:
Silver Star Capital Investors, LLC

    


    I hereby
irrevocably tender this subscription agreement for the purchase of shares at $
________ per share.

    With this
subscription agreement, I tender payment in the amount of $ _________________
for the shares subscribed.

    


    In
connection with this investment, I represent and warrant as
follows:

    


    (a)   Prior
to tendering payment for the shares, I received your final prospectus dated
____________________.

    


    (b)  Our
entity is domiciled in the state of ______________.

    


    
      	
              ENTITY: 

            	 
      	
              CORPORATION  (authorized
      agent of the corporation must sign)

            
	 
      	 
      	
              EXISTING
      PARTNERSHIP  (at least one partner must
    sign)

            
	 
      	 
      	
              TRUST  (all
      trustees must sign)

            


    

    



    
      
         


      

      
         


        
          

        

      

      
         


      

    


    
      	 
      
	
              Name
      of Entity

            
	 
      
	 
      
	
              Authorized
      Agent (print name above)

            
	 
      
	 
      
	
              Title
      of Authorized Agent

            
	 
      
	 
      
	
              Authorized
      Agent (print name above)

            
	 
      
	 
      
	
              Street
      (business address ) or address of Registered Agent

            
	 
      
	 
      
	
              City,
      State, Zip Code

            
	 
      
	 
      
	
              Business
      Telephone or Home Telephone of Registered Agent

            
	 
      
	 
      	 
      
	
              Fax

            	
              E-mail

            


    

    


    The
undersigned acknowledges that the foregoing information is true, accurate, and
complete.

    


    
      	 
      	 
      	 
      	 
      
	 
      	
              Date:

            


    

    


    For a
Trust, all Trustees must sign. Add a line for each.

    


    
      	
              ACCEPTED BY : Silver
      Star Capital Holdings, Inc

            	 
      
	 
      	 
      
	 
      	 
      	 
      	 
      
	 
      	
              Date