New Standard and Retirement Investor Questionnaire

INVESTOR QUESTIONNAIRE

Standard & Retirement Note Offering
Welcome to Trophy Point Capital! We're excited to work with you.
Are you creating a New Investment or adding to an Existing Investment?
Were you referred?
Referred by:
How did you hear about us?

Other
How are you investing your funds?
Select the Representative you worked with.
Name of Trust or Foundation.
Who will be the custodian (if known)? Ex: Advanta IRA, Forge Trust, Equity Trust, etc.
Where are your funds currently? Ex: Fidelity, Vanguard, Charles Schwab, etc.
Type of account? Ex: Traditional, Roth, SEP, 401K, etc.
Name of LLC or Corporation:
EIN of LLC or Corporation:
Full Name of Investment Decision Maker

First NameLast Name
Are you a Veteran?
If you attended one of the U.S. service academies, tell us which one and what year you graduated (USMA, USNA, USAFA, USCGA, USMMA).
If any of your immediate family members (sibling, child, grandchild, parent, grandparent) attended one of the U.S. service academies, please tell us which one and what year they graduated.
Social Security Number
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Phone Number
Format: (000) 000-0000.
Email
If joint account, please add name:
Has your address changed?
Best Mailing Address of Investment Decision Maker

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employment Type

Other
Occupation
Employer
Amount to be invested, new money coming in. Do not include any amount currently with us. If investing via a Custodian, please remember to leave enough money in that account to cover any monthly or annual fees:
NOTE: Please be advised, any funds in addition to the amount indicated above will require an additional Registration Form. This allows for trackability.
Interest Rate
Interest payments?
If using a custodian for a self-directed retirement investment and you decide on a quarterly payout option, please choose one.
Has your banking information changed?
Bank or Financial Institution's name, interest is paid via ACH
If not doing quarterly payout, feel free to enter ABC Bank as a place holder.
Account Holder Name
Type of Account
Routing Number:
If not doing quarterly payout, please enter 1234 as a place holder.
Account Number:
If not doing quarterly payout, please enter 1234 as a place holder.
You can designate a beneficiary, please list Name and Contact info:
I certify that I am an Accredited Investor as defined by SEC regulations under Regulation D, Rule 506(c), meeting at least one of the following criteria: (1) individual income exceeding $200,000 in each of the past two years, or combined spousal/spousal equivalent income exceeding $300,000, with a reasonable expectation of reaching the same income level in the current year; (2) individual or combined spousal/spousal equivalent net worth exceeding $1,000,000, excluding the value of my primary residence; OR (3) I am a qualified entity (including but not limited to a trust, corporation, partnership, or LLC) with total assets exceeding $5,000,000, not formed for the specific purpose of making this investment.I further acknowledge that this offering is being made pursuant to Rule 506(c) of Regulation D, which permits the issuer to engage in general solicitation, provided that all purchasers are verified Accredited Investors. I agree to provide any documentation reasonably requested to verify my accredited investor status prior to participating in this offering.
Terms and Conditions
A Promissory Note confirming my investment will be issued upon execution of this agreement and receipt of funds. Wire instructions will be furnished upon completion of accreditation verification.
By signing below, I acknowledge and agree to the terms stated above.
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INVESTOR QUESTIONNAIRE

Welcome to Trophy Point Capital! We're excited to work with you.