New Investor InformationNew Investor InformationStep 1 of 425%Dear Investor, the Department of Real Estate requires that we collect the RE 870 (Investor Questionnaire) form for each vesting used to fund a loan with GNT Financial Services. This information is kept in your investor profile and only shown to the Department of Real Estate upon special request. This information is not reported or given to the IRS or other entities. The information you complete is taken as fact and will not be verified by GNT as we are relying on you to provide complete and accurate information.You can only buy loans that are less than or equal to 10% of your stated net worth. For example, if you state your net worth is $500,001 – $750,000, then the maximum loan amount you can fund per transaction is $750,000. If you selected $750,001 – $1,000,000, then the maximum loan amount you can fund is $100,000 per transaction.Trust Deed Investments - What you should know!!Consent agreement(Required) I have reviewed and understand the information outlined in the RE 35 "Trust Deed Investments - What you should know!!(Required)Please enter your exact vesting to be shown on title when buying a note (PLEASE CONSULT LEGAL COUNSEL IF YOU HAVE QUESTIONS ON HOW TO HOLD TITLE)Email Address(Required) GNT services all loans unless otherwise stated in writing from Marcus Carter.GNT Will service my loanI will let GNT know who will service my loansLiquidity NeedsPrimary Need is liquidity/cashNeed some liquidity for possible quick access to cashNo liquidity needed; have other sources of cashTrust Deeds are not a “liquid” asset. In order to liquidate your investment prior to being paid off, you may need to sell your note for a “discount” or reduction in the amount you owe. Because of this, we recommend not investing in trust deeds unless you have no need for liquidity, and have other sources of cash.listofpoint 1. I am completing this information for a brand new vesting that has never purchased a loan before. 2. I am completing this information for vesting already being used and nothing related to my financial situation has changed. Please re-use my previous questionnaire and I attest to that information is complete and accurate. Please confirm with your GNT rep if you are going to select this box. This cannot always be used. 3. I only need to update my ACH informationType Full Name First Date MM slash DD slash YYYY This questionnaire is intended to assist brokers in determining an investor’s suitability for trust deed and real property sales contract investments as required by Business and Professions Code Section 10232.45.NOTE: The California Department of Real Estate does not endorse or offer any opinions regarding the suitability of any proposed or existing real estate investments. A guide to trust deed investments entitled “Trust Deed Investments – What You Should Know!!” (RE35) is available on the Department’s web site at www.dre.ca.gov under the Publications menu.InvestorName of person completing this questionnaireTitle of the name of person completing this questionnaireAdd Co-Investor Add Co-InvestorCo-InvestorCo-Investor TitleCo-Investor AddressCo-Investor PhoneCo-Investor Date of BirthIf the investor is an entity, this questionnaire should be completed and signed on the entity’s behalf by the natural person with the authority to invest the entity’s funds.This investor profile is an entity This investor profile is an entityName of entity (if applicable)Type of organizationGENERAL INFORMATIONInvestor addressCityUS State- Select State -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingWashington DCARMED FORCES AFRICA 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MIDDLE EASTARMED FORCES AMERICA (EXCEPT CANADA)ARMED FORCES PACIFICZipInvestor telephone numberInvestor Email Investor date of birth MM slash DD slash YYYY EMPLOYMENT INFORMATIONAre you retired? Yes NoHow long have you been retired (in years)Retired PositionRetired TitleCurrent positionTitleLength of time in positionPrevious position/professionsEducationHighest Year CompletedYear of GraduationDegree/DiplomaFinancial SituationYou can only buy loans that are less than or equal to 10% of your stated net worth. For example, if you state your net worth is $500,001 - $750,000, then the maximum loan amount you can fund per transaction is $750,000. If you selected $750,001 - $1,000,000, then the maximum loan amount you can fund is $100,000 per transaction.Estimated Annual IncomeUnder $50,000$50,001 to $100,000$100,001 to $200,000$200,001 to $300,000$300,001 to $500,000$500,001 to $750,000$750,001 to $1,000,000$1,000,001 to $5,000,000$5,000,001 to $10,000,000Over $10,000,000Estimated Net WorthUnder $50,000$50,001 to $100,000$100,001 to $200,000$200,001 to $300,000$300,001 to $500,000$500,001 to $750,000$750,001 to $1,000,000$1,000,001 to $5,000,000$5,000,001 to $10,000,000Over $10,000,000Source of Income and Cash ResourcesInvestment ExperienceNo investment experience No investment experienceMutual Funds Mutual FundsMutual Funds ExperienceStocks/Shares Stocks/SharesStocks/Shares ExperienceReal Estate Real EstateReal Estate ExperienceAnnuities AnnuitiesAnnuities ExperienceNotes NotesNotes ExperienceBonds BondsBonds ExperienceOptions OptionsOptions ExperienceOther (specify) Other (specify)Other ExperienceHow many previous investments have you made in notes secured by trust deeds or real property sales contracts?Briefly list other investments heldOther ConsiderationsOther educational, business, or financial experiences, investment considerations, financial situations, training (including seminars, continuing education, etc.), or professional licenses and certificationsInvestment ObjectiveObjective of investor(s) for purchasing or investing in trust deeds or real property sales contractsINVESTOR ACKNOWLEDGEMENTI certify (or declare) that the information provided in this questionnaire is true and correct to the best of my knowledge. I am providing this information for the purpose of determining whether or not trust deed or real property sales contract investments are suitable for me. I understand that the broker may request an annual update of this information and that the broker may request additional information regarding my suitability as an investor for each specific transaction. I acknowledge that investments in notes secured by trust deeds and real property sales contracts are subject to risk of loss of principal and monthly income.Signature (type full name)Date MM slash DD slash YYYY W9Request for Taxpayer Identification Number and CertificationName (as shown on your income tax return)Business name/disregarded entity name, if different from aboveCheck appropriate box for federal tax classification: Individual/sole proprietor C Corporation S Corporation Partnership Trust/estate Limited liability company Other (see instructions)Enter the tax classification CC corporation SS corporation partnershipOther tax classificationExempt payee Exempt payeeAddress (number, street, and apt. or suite no.)City, State, and ZIP codeList account number(s) here (optional)Requester’s name and address (optional)Part I: Taxpayer Identification Number (TIN)Enter your TIN in the appropriate box. The TIN provided must match the name given on the “Name” line to avoid backup withholding. For individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3.Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose number to enter.Social Security NumberEmployer Identification NumberPart II: CertificationUnder penalties of perjury, I certify that:The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), andI am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, andI am a U.S. citizen or other U.S. person (defined below). Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions on page 4.Signature (type full name)Date MM slash DD slash YYYY General InstructionsSection references are to the Internal Revenue Code unless otherwisePurpose of FormA person who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) to report, for example, income paid to you, real estate transactions, mortgage interest you paid, acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an IRA.Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN to the person requesting it (the requester) and, when applicable, to:Certify that the TIN you are giving is correct (or you are waiting for a number to be issued),Certify that you are not subject to backup withholding, orClaim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners’ share of effectively connected income.Note. If a requester gives you a form other than Form W-9 to request your TIN, you must use the requester’s form if it is substantially similar to this Form W-9.Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are:An individual who is a U.S. citizen or U.S. resident alien,A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States,An estate (other than a foreign estate), orA domestic trust (as defined in Regulations section 301.7701-7).Special rules for partnerships. Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax on any foreign partners’ share of income from such business. Further, in certain cases where a Form W-9 has not been received, a partnership is required to presume that a partner is a foreign person, and pay the withholding tax. Therefore, if you are a U.S. person that is a partner in a partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U.S. status and avoid withholding on your share of partnership income.GNT Financial Services requires ACH to better serve its clients and reduce the security risks associated with sending checks and other financial data in the mail. This allows your monthly interest payments and payoffs to be directly deposited into your accountThis information is the same as previously entered This information is the same as previously enteredInvestor NameAddressCityState- Select State -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingWashington DCARMED FORCES AFRICA 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MIDDLE EASTARMED FORCES AMERICA (EXCEPT CANADA)ARMED FORCES PACIFICZipPhoneTax ID NumberI further understand that there will NOT be a transaction fee charged for this process. Should I need to revoke this authorization, I may email servicing@gntfinancialservices.comI (we) acknowledge that the origination of ACH transactions to my (our) account must comply with the provisions of the U.S. law.Name on the bank accountFinancial InstitutionBranchAddressCityUS State- Select State -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingWashington DCARMED FORCES AFRICA 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MIDDLE EASTARMED FORCES AMERICA (EXCEPT CANADA)ARMED FORCES PACIFICZipRouting NumberAccount NumberType of Account Checking SavingsThis authorization is to remain in full force and effect until COMPANY has received written notification from me (or either of us)of its termination in such time and manner as to afford COMPANY and FINANCIAL INSTITUTION a reasonable opportunity to act on it.Type Full NameDate MM slash DD slash YYYY Please review all the information you entered in previous Page.{all_fields} 68368