High Net Worth and or Sophisticated Investor Statement

I make this statement so that I can receive promotional communications which are exempt from the restriction on promotion of non-mainstream pooled investments.

The exemption relates to certified high net worth Investors and I declare that I qualify as such because at least one of the following applies to me:

1. I had, throughout the financial year immediately preceding the date below, an annual income to the value of £100,000 or more;
2. I held, throughout the financial year immediately preceding the date below, net assets to the value of £250,000 or more. Net assets for these purposes do not include:
   1. the property which is my primary residence or any money raised through a loan secured on that property;
   2. any rights of mine under a qualifying contract of insurance; or
   3. any benefits (in the form of pensions or otherwise) which are payable on the termination of my service or on my death or retirement and to which I am (or my dependants are), or may be, entitled.
3. I have investment experience and knowledge of complex instruments, and I am better able to understand and evaluate the risks and potential rewards of unusual, complex and / or illiquid investments.

I accept that the investments to which the promotions will relate may expose me to a significant risk of losing all of the money or other property.

I am aware that it is open to me to seek advice from an authorised person who specialises in advising on non-mainstream pooled investments.

Full Name (as on driving license or passport)*

Date of Birth

Email*

Phone*

Full Address of property to be let including postcode*

Emergency Contact name*

What is your Emergency Contact 's relationship to you?

Emergency Contact phone number*

What are your objectives Cashflow Pension Flip

Do you own your own home?* Yes No

What is your time frame 6 months 12 months 2 years 3 years 4 years 5 years 5 years+

Have you attended an investor day with us Yes No

Have you had a CCJ (County court judgement against you) or ever been declared bankrupt?* Yes No

Please enter your last 3 years of addresses (with dates) (4000 chars left)*

Employer company name (or enter n/a)*

What is your employment status (1000 chars left)

In the last tax year did you earn more than £25,000 Yes No

Current employee (if applicable)* Yes No

 Proof of ID (Non expired passport or driving license)*

 Proof of income / funds

Do you own your own home in the UK Yes No

Do you own any Buy to Let properties? If so, how many?

If you found the right investment and had to find the money in 4 weeks, approximately how much would you have to invest? £20k £40k £60k £100k £250k £500k £1m

What is most important to you when it comes to property investment?

Please insert the letters/numbers you see.

I agree that to proceed with Green Acorn Property, I will present identification and proof of funds to a nominated solicitor. Furthermore, if mortgage funds are required, I will undertake to obtain a decision in principle from a nominated broker, independent financial advisor or mortgage lender. By completing this from you agree not to share information on our property deals with third parties or approach the sellers of our properties directly.

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