Mortgage Fund Investor Account Setup Form

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Name of Primary Account Holder *

First

Last

Phone # for Primary Account Holder *

E-Mail for Primary Account Holder *

Home Address for Primary Contact *

Address Line 1

Address Line 2

City

State

Zip Code

Mailing Address same as Home Address *

Mailing Address for Primary Contact *

Address Line 1

Address Line 2

City

State

Zip Code

Are you an accredited investor? *

TaliMar Income Fund I is a 506(c) offering and is restricted to Accredited investors. An accredited investor is considered a person with a net worth exceeding $1 million, either individually or jointly with their spouse, exclusive of their personal residence or has an annual income exceeding $200,000 ($300,000 for joint income) for the last two years with the expectation of earning the same or a higher income in the current year.

Are you married? *

Name of Spouse *

First

Last

Spouse Phone *

Spouse Email *

Spouse Home Address *

Address Line 1

Address Line 2

City

State

Zip Code

Spouse Mailing Address same as Home Address *

Mailing Address for Spouse

Address Line 1

Address Line 2

City

State

Zip Code

Select Account Type *

Will the investment be made through a third party custodian? *

A third party custodian would include a self directed IRA service provider or financial brokerage (such as Schwab or Fidelity)?

Name of Trust *

Example, Mike Smith and Mary Smith, Trustees of the Smith Family Trust dated 01-01-2010

Date of Trust *

Is this a revocable or irrevocable trust? *

Name of Entity (LLC, Corp, LP, etc.) *

Example, Investment Entity, LLC

State in which Entity was originally formed? *

Is the Entity in Good Standing?

Name of 401(k) *

Example, TaliMar Financial 401k Account

Name of Custodian *

Example, Self Directed IRA Custodian

Custodian Account Number *

Required for us to submit Subscription Agreement, processing payments, and update balances

Input Tax ID # of Custodian (if known)

Mailing Address for Account *

Address Line 1

Address Line 2

City

State

Zip Code

*Enter the home address of the primary account holder.

Full Legal Name of Signer 1 *

First

Middle

Last

If a Self Directed IRA, 401k, Trust, or Entity, enter the name of the Primary Contact responsible for signing the fund documents.

Title *

Example, Trustee, Manager, Managing Member. Enter Not Applicable if entry does not apply.

Phone *

Email *

Gender *

Male
Female

Date of Birth *

Required by the U.S. Treasury's Financial Crimes Enforcement Network (FinCEN) for the "Know Your Customer" and "Anti Money Laundering" check.

Social Security Number *

Required by the U.S. Treasury's Financial Crimes Enforcement Network (FinCEN) for the "Know Your Customer" and "Anti Money Laundering" check.

Are you a US Citizen? (one) *

Enter your country of citizenship *

Select residency status *

Resident
Non Resident

Is there a second signer on the account?

This would include an additional Trustee on a Trust or signing member of an LLC / Corp.

Full Legal Name of Signer 2 *

First

Middle

Last

Enter name of trustee if Trust

Title *

Example, Trustee, Manager, Managing Member. Enter Not Applicable if entry does not apply.

Phone *

Email *

Gender *

Male
Female

Date of Birth *

Required by the U.S. Treasury's Financial Crimes Enforcement Network (FinCEN) for the "Know Your Customer" and "Anti Money Laundering" check.

Social Security Number *

Required by the U.S. Treasury's Financial Crimes Enforcement Network (FinCEN) for the "Know Your Customer" and "Anti Money Laundering" check.

Is this person a US Citizen? (two) *

Enter your country of citizenship *

Select residency status *

Resident
Non Resident

Is there a third signer on the account? *

Full Legal Name of Signer *

First

Middle

Last

Enter name of trustee if Trust

Title *

Phone *

Email *

Gender *

Male
Female

Date of Birth *

Required by the U.S. Treasury's Financial Crimes Enforcement Network (FinCEN) for the "Know Your Customer" and "Anti Money Laundering" check.

Social Security Number *

Required by the U.S. Treasury's Financial Crimes Enforcement Network (FinCEN) for the "Know Your Customer" and "Anti Money Laundering" check.

Is this person a US Citizen? (three) *

Is there fourth signer on the account? *

Full Legal Name of Signer *

First

Middle

Last

Enter name of trustee if Trust

Title *

Phone *

Email *

Date of Birth *

Required by the U.S. Treasury's Financial Crimes Enforcement Network (FinCEN) for the "Know Your Customer" and "Anti Money Laundering" check.

Social Security Number *

Required by the U.S. Treasury's Financial Crimes Enforcement Network (FinCEN) for the "Know Your Customer" and "Anti Money Laundering" check.

Gender *

Male
Female

Enter Tax ID # for Account *

This will be used for tax documents.

The next step is to start the Accreditation Process. Please select how you would like to be accredited? *

Letter signed by your CPA, Financial Advisor, or Attorney attesting to your Accreditation Status. TaliMar Financial will provide the template letter. (Recommended)
Two years of Personal Tax Statements verifying income of $200k or greater if single, or $300k or greater if married.
Submit bank, brokerage, or other account statements demonstrating a net worth of $1 million or greater. This can include a schedule of investment real estate owned (not to include your personal residence). A credit check will be required to verify liabilities which will be used to calculate your net worth.
I have already been accredited by TaliMar Financial using one of the options listed above in the last 12 months. (For trust deed investors, the RE870 California DRE disclosure does not meet the requirements for the Accreditation Process.)

*TaliMar Income Fund I is a 506(c) offering and is restricted to Accredited investors. An accredited investor is considered a person with a net worth exceeding $1 million, either individually or jointly with their spouse, exclusive of their personal residence or has an annual income exceeding $200,000 ($300,000 for joint income) for the last two years with the expectation of earning the same or a higher income in the current year.

Know Your Investor

The California Department of Real Estate and Securities and Exchange Commission ("SEC") requires that we complete a Know Your Investor ("KYI") questionnaire.

What is your estimated annual income? *

What is your estimated net worth? (exclusive of your primary residence and mortgage) *

What is your estimated liquid assets? *

What are your liquidity needs? *

What is your highest level of formal education? *

What is your employment status? *

Industry *

If unemployed or retired, select the industry in which you were employed.

Investment Experience (select all that apply)

Stock Market investing for at least two years in self managed accounts
Investing in trust deeds for at least two years
Mutual fund investing for at least two years in self managed accounts
Real estate investing for a least two years
Bond investing for at least two years in self managed accounts

List any professional licenses that you currently hold or have held

List any investing courses you have attended

TaliMar Income Fund I

Complete this section for your investment in TaliMar Income Fund I.

Enter investment amount. *

There is a $100,000 minimum to invest in the mortgage fund.

Would you prefer to reinvest the monthly distribution and earn compounded monthly interest or have the distributions deposited into a designated account? *

We encourage investors, especially those that intend to use a self directed IRA, to reinvest the monthly proceeds.

Account Type *

Checking
Savings

Dividend income will be deposited into your account on or around the 20th of each month.

Bank Name *

Name on the Account *

Account Number *

Routing Number *

At TaliMar Income Fund I, we are committed to protecting the privacy and security of your personal information. We do not sell or distribute any personal or financial information to third parties for marketing or other commercial purposes. However, to facilitate the administration and servicing of the Fund, we may share necessary personal information with our third-party vendors, including but not limited to, our Fund Administrator, CPA, Auditor, Loan Servicer. This service is required to adhere to strict confidentiality and data protection standards to ensure the security of your information. By selecting Opt In, you consent to the limited sharing of your information for the sole purpose of managing your account. I acknowledge that I have read and understand this notice and consent to the limited sharing of my personal and financial information as described above. *

Opt In

Select Notifications *

E-Mail
Text
Mail

TaliMar Financial periodically sends important updates, including statement notifications, monthly performance reports, and market insights. Please select your preferred method of receiving these communications

How did you hear about TaliMar Financial? *

Referral
Internet Search
Social Media (Facebook, LinkedIn, Other)
Postcard
Other

Who referred you so we may thank them?

Other: *

Custom Captcha *