Offeree Suitability Questionnaire printable pdf download

Offeree Suitability Questionnaire

CONFIDENTIAL

TDL CAPITAL Investments LLC.

Managing Member

OFFEREE SUITABILITY QUESTIONNAIRE

Instructions: This Questionnaire should be completed by each party interested in identifying

themselves as either ACCREDITED or NON ACCREDITED potential Investors. Please

complete, sign, date and return one copy of this Questionnaire to the

Company or its authorized representative.

PLEASE PRINT

Name

Phone:

Email:

________________________________________________________________________

Address

________________________________________________________________________

City________________________________ State__________Zip______________

Occupation

________________________________________________________________________

Business Address

________________________________________________________________________

1. Set forth in the space provided below the state(s) in which you have maintained your

Principal residence during the past two years and the dates during which you resided in each

state.

________________________________________________________________________

2. Do you maintain a house or apartment in any other state? If yes, in which state(s)?

________________________________________________________________________

3. In which state, if any, do you pay state income taxes?

________________________________________________________________________

4. What is your present age?

Under 21____; 21-30_____; 31-40____; 41-50_____; 51-64____; Over 64____.

Offeree Suitability Questionnaire