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Full Name
Address:
Are you investing as an individual, joint investor, or through an entity?
I have an individual annual income exceeding $200,000 in each of the past two years and expect the same in the current year.
My joint income with my spouse or spousal equivalent exceeds $300,000 in each of the past two years and I expect the same in the current year.
I have a net worth exceeding $1 million, excluding the value of my primary residence.
I hold a Series 7, Series 65, or Series 82 securities license in good standing.
Entity Accreditation:
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Because 506(c) requires reasonable verification, SEC requirements and law require investors to provide supporting documents. This could include: Income Verification Documents IRS Tax Returns (last two years) W-2, 1099, or K-1 Forms CPA or attorney certification Net Worth Verification Brokerage or bank statements (last three months) Real estate appraisals (excluding primary residence) CPA or attorney certification Entity Verification (for corporate investors) Articles of incorporation or operating agreement Financial statements proving $5M+ assets Letter from a financial institution or attorney Professional Certification Verification (for licensed investors) Copy of active Series 7, 65, or 82 license
Investor Attestations:
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