Interested Investor Form Name * First Name Last Name Email * Phone * Country (###) ### #### Are you a foreign investor? * Yes No Overall Investment Strategies * Please select which investment strategies are your main objective. Liquidity Growth Tax Deferral Cash Flow Risk Tolerance * Please select which risk tolerance level is appropriate for you. Highly Aggressive Aggressive Moderate Conservative Highly Conservative What is your primary source of income? * Please select the answer most appropriate for you. Investments Salary, commisions, or other regular earned income How many real estate investments have you made in the last 5 years? * 0 1-2 3-4 5+ What is the value of your investments? * Less than $100,000 $100,000 - $499,999 $500,000 - $1,000,000 More than $1,000,000 What is your approximate net worth excluding your primary residence? * Less than $1,000,000 $1,000,000 - $5,000,000 More than $5,000,000 What is your approximate income? * Less than $200,000 $200,000 - $500,000 More than $500,000 What is the value of your estimate liquid assests (cash in bank, readily marketable stocks/bonds, precious metals)? * Less than $100,000 $100,000 - $200,000 More than $200,000 Certification of Sophisticated Investor Status * Please select the one below that is most true for you. I have such knowledge and experience in financial, investment, and business matters that I am capable of evaluating the merits and risks of any investment. I am using a financial advisor, planner, consultant, or some other advisor who has such knowledge and experience in financial and business matters that he/she is capable of evaluating the merits and risks of any investments. Certification of Accredited Investor Status * I acknowledge and warrant that I am an "accredited investor" for the following reasons: (a) My individual net worth, along with the net worth of my spouse exceeds $1,000,000, excluding the value of my personal residence and excluding from my liabilities the mortgages of my primary residence, provided the mortgages to not exceed the value of my primary residence (b) My individual income was in excess of $200,000 in each of the past two years (excluding my spouse's income) and I expect to have income (excluding my spouse's income) in excess of that amount in the current year or my individual income for each such years together with my spouse's is in excess of $300,000 each. Your status: Yes, (a) is true. Yes, (b) is true. Yes, both (a) and (b) are true. No, I am not. Date and Signature Confirmation * I confirm, by typing my name in below and electronically submitting this form, that the information supplied herein is current and accurate. I agree to sign a printed copy if asked to do so by recipient. Signature (Please type in your name) Date * MM DD YYYY Thank you!