Real Estate Investment Application

REAL ESTATE INVESTMENT APPLICATION

Applicant Information

Investor Name:

Individual Corporation LLC Trust Partnership

Phone:     Email:

Tax ID / SSN:

Accreditation and Suitability

The undersigned certifies the following (check all that apply):

I meet the accredited investor income test. I meet the accredited investor net worth test. Entity is an accredited investor.

By checking any box above and signing below, the applicant represents and warrants that the information provided is true, complete and accurate, and that applicant understands that verification of accredited status and other suitability criteria may be required prior to acceptance of any subscription or investment.

Investment Opportunity / Property

Proposed Investment Terms

Equity Debt Syndication / Fund Joint Venture

Expected funding date:     Target hold period (months):     Target return (annual %):

Source of Funds & Suitability

Source(s) of funds (check all that apply):

Personal savings Sale of assets Loan / Financing Business operating funds Other

Property Disclosures

The applicant acknowledges the following known property conditions (mark yes or no):

Lead-based paint known: Yes No

Mold or water intrusion known: Yes No

Prior structural or material damage known: Yes No

Outstanding liens, judgments or unresolved claims affecting title: Yes No

Representations, Covenants and Consent

By submitting this Application the undersigned represents and warrants to the sponsor and manager that: (a) all information contained herein is true, complete and correct; (b) the undersigned has the authority to enter into this application and to provide the information requested; (c) submission of this Application does not constitute a binding commitment by the sponsor to accept the undersigned as an investor; (d) the undersigned understands and acknowledges that investments in real estate are subject to significant risk, may be illiquid and that past performance is not indicative of future results.

The undersigned expressly consents to such background, credit and identity verification checks as the sponsor or its designees may deem necessary to assess suitability and to comply with applicable anti‑money laundering and know‑your‑customer requirements. The undersigned further authorizes the release of relevant verification information by third parties to the sponsor for these purposes.

The undersigned acknowledges that acceptance of this Application is subject to the sponsor's review and approval and that the sponsor may require additional documentation, representations or agreements prior to closing.

Certifications

Certification: I certify, under penalty of perjury, that the information provided in this Application is true, correct and complete to the best of my knowledge and belief. I understand that any material misstatement may result in rejection of this Application or in other remedies available to the sponsor.

Governing Law

This Application and any subsequent agreements executed in connection with an accepted investment shall be governed by and construed in accordance with the laws of the jurisdiction specified by the sponsor in the subscription materials. The parties acknowledge that venue for any dispute shall be in the courts with jurisdiction over such matters in that jurisdiction.

Entire Agreement: This Application, together with any subscription documents and operating agreements executed upon acceptance, constitutes the entire agreement between the parties with respect to the subject matter herein and supersedes all prior discussions and agreements.

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