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Investor Qualification Form

Please fill out the information below:

Full Name

City

State

Zip

Phone

I am interested in exploring real-estate opportunities. I understand I must meet at least one of the following qualifications. I have significant investment, business and/or financial experience.

Please check all that apply.

Income: My annual net income exceeded $200,000 (or $300,000 together with a spouse) in each of the last two years, and I reasonably expect the same income level this year.

Assets: My current individual net worth or joint net worth with my spouse is at least $1 million and does not include my personal residence.

Experience: I am a business person with sufficient knowledge and experience in financial and business matters to the extent that I am capable of evaluating the risks and merits of a prospective investment.

Amount interested in investing, check below:

$50,000 – $99,999

$100,000 – $499,999

$500,000 – $999,999

$1,000,000 +

This is not an offer to sell or solicitation of an offer to purchase an investment or security. This information relates to possible real estate opportunities for qualified purchasers who have established an existing substantive relationship with our company. Natural persons qualify as investors by virtue of such pre-existing relationships and by proof of business experience, income and net worth.

I/we hereby certify the above is true and correct.

Signature

Date

Signature

Date

Melvon Capital | 1233 The Plaza #5175 Charlotte NC 28229

(980) 288-8608 | gailmwalton@melvoncapital.com

INVEST WITH US

Investor Qualification Form

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