NHI-REIT of Missouri, LP
Limited Partnership
MO
19.
NHI-REIT of Northeast, LLC
LLC
DE
20.
NHI-REIT of New Jersey, L.P.
Limited Partnership
NJ
21.
NHI-REIT of Pennsylvania, L.P.
Limited Partnership
PA
22.
NHI-REIT of South Carolina, L.P.
Limited Partnership
SC
23.
NHI-REIT of Tennessee, LLC
LLC
TN
24.
NHI-REIT of Texas, L.P.
Limited Partnership
TX
25.
NHI-REIT of Virginia, L.P.
Limited Partnership
VA
26.
NHI Selah Properties, LLC
LLC
DE
27.
NHI of Ennis, LLC
LLC
DE
28.
NHI of Greenville, LLC
LLC
DE
29.
NHI of North Houston, LLC
LLC
DE
30.
NHI of West Houston, LLC
LLC
DE
31.
NHI-REIT of Washington, LLC
LLC
DE
32.
International Health Investors, Inc.
Corporation
MD
33.
NHI of Kyle, LLC
LLC
DE
34.
NHI-SS TRS, LLC
LLC
DE
35.
NHI PropCo, LLC
LLC
DE
36.
NHI-REIT of Oregon, LLC
LLC
DE
37.
NHI-REIT of Wisconsin, LLC
LLC
DE
38.
NHI-REIT of Ohio, LLC
LLC
DE
39.
NHI-REIT of Maryland, LLC
LLC
DE
40.
NHI-REIT of Next House, LLC
LLC
DE
41.
Myrtle Beach Retirement Residence LLC
LLC
OR
42.
Voorhees Retirement Residence LLC
LLC
OR
43.
NHI-REIT of Seaside, LLC
LLC
DE
44.
NHI-REIT of Axel, LLC
LLC
DE
45.
NHI-REIT of Michigan, LLC
LLC
DE
SCHEDULE 1
[FORM OF SERIES [_____] NOTE]
NATIONAL HEALTH INVESTORS, INC.
[___%] SERIES [____] SENIOR NOTE DUE [__________, _____]
No. R__-[__]
[Date]
$[_______]
PPN[______________]
FOR VALUE RECEIVED, the undersigned, NATIONAL HEALTH INVESTORS, INC. (herein
called the "Company"), a corporation organized and existing under the laws of
the State of Maryland, hereby promises to pay to [____________], or registered
assigns, the principal sum of [_____________________] DOLLARS (or so much
thereof as shall not have been prepaid) on [____________, _____] (the "Maturity
Date"), with interest (computed on the basis of a 360-day year of twelve 30‐day
months) (a) on the unpaid balance hereof at the rate of [___%] per annum from
the date hereof, payable [quarterly], on the [___] day of [________],
[________], [________] and [________] in each year, commencing with the
[________], [________], [________] or [________] next succeeding the date
hereof, and on the Maturity Date, until the principal hereof shall have become
due and payable, and (b) to the extent permitted by law, (x) on any overdue
payment of interest and (y) during the continuance of an Event of Default, on
such unpaid balance and on any overdue payment of any Make-Whole Amount, at a
rate per annum from time to time equal to the greater of (i) [___%] or
(ii) [___%] over the rate of interest publicly announced by [JPMorgan Chase
Bank, N.A.] from time to time in New York, New York as its "base" or "prime"
rate, payable [quarterly] as aforesaid (or, at the option of the registered
holder hereof, on demand).
Payments of principal of, interest on and any Make-Whole Amount with respect to
this Note are to be made in lawful money of the United States of America at
JPMorgan Chase Bank, N.A. or at such other place as the Company