EB-5 Consultation & Evaluation Questionnaire

Income when you made investment
Gross:
Net:
Now
Gross:
Net:
Net Worth
Gross:
Net:
Number of full-time employees in the business in the U.S. ( Excluding you, your spouse, sons, daughters)
When you made an initial investment?
Now:
Difference:
How many of these new jobs were created by your investment?
How many additional new jobs will be created by your additional investment?
List spouse and children
Full Name
Relationship
Date of Birth

Month Day Year
Date
Full Name
Relationship
Date of Birth

Month Day Year
Date
Full Name
Relationship
Date of Birth

Month Day Year
Date
Full Name
Relationship
Date of Birth

Month Day Year
Date
Full Name
Relationship
Date of Birth

Month Day Year
Date
Should be Empty: