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THIS IS A SPECIAL AREA FOR INVESTORS ONLY!

New Investor Qualifying Form
First Name :
Last Name :
Principle Residence Address :
Address Continued :
City :
State :
ZIP :
Country :
Phone Number :
Fax Number :
Mailing Address :
Suite :
City :
State :
ZIP :
Country :
Email Address :
Social Security Number of Individual or Tax Identification Number of Entity entering into Limited Partnership (to be used on K-1 form submitted to IRS)
Legal form of ownership
(If other than individual participation Our Group may request copies of formation documents at the time of investment) Individual Individual (by Representative) Partnership Corporation Trust Other:
Do you have tax-deferred accounts you would like to utilize (IRA's, etc.)
Employment and Business experience
Occupation :
Business address :
City :
State :
ZIP :
Business phone :	Extension
Business fax :
Do you own your own business or are you otherwise employed
Type of business employed or owned :
Present title or position :
Length of service in present title or position :
Current Investment Objectives
My current investment objectives are:
(please rate 1-3 by priority) Current income: Appreciation / Capital gains: Tax Shelter:
What amount are you looking to invest in the next 12 months?
Net Worth and Income (required)
My personal net worth together with my spouse exceeds:
My annual individual income, NOT including my spouse, for the past 2 years is in the excess of $200,000 and I reasonably expect an individual income in excess of $200,000 in this year.
My annual income together with my spouse for the past 2 years exceeds $300,000, and I reasonably expect that it will exceed $300,000 this year.

Gene

Real Estate Investing Course for Profitable Real Estate Investments by Professional Real Estate Mentor Gene Burns. Help

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