Qualified Investor ApplicationPlease fill out the form below, and we will reach out to you to discuss your investing preferences. A person’s indication of interest involves no obligation or commitment of any kind. This is not a solicitation or offer of securities. Investments are offered only to qualified investors through a written Investment Agreement or Private Placement Memorandum.Please enable JavaScript in your browser to complete this form.I'm applying as: *Select oneNatural PersonLegal EntityFull Name *If applying on behalf of a legal entity, enter legal entity name. Email *EmailConfirm EmailPhone Number *How much are you looking to invest? *State in which you are registered to vote *Select OneNon-US ResidentAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingBusiness/Profession *Title *Real Estate Investing Experience (# of Years) *Type(s) of Properties *Single Family HomesMultifamilyRetailOffice / MedicalIndustrialSelect all that apply. Value of Investments *Select OneLess than $25,000$25,000 - $100,000$100,000 - $250,000$250,000 - $1,000,000$1,000,000 - $2,500,000Greater than $2,500,000Overall Investment Objectives *Capital GrowthPassive IncomeTax DeferralLiquidityRisk Tolerance *AggressiveModerateConservativePlease check one. Education *Select OneHigh School DiplomaSome CollegeAssociate DegreeBachelor's DegreeMaster's DegreeDoctoratePlease select your highest level of education that you have received.LicensesPlease list any job-related licenses that you hold or have held in the past.Job ExperiencePlease briefly summarize any job experience that you have had that may show familiarity with business matters and/or investments.Primary Source of Income *InvestmentsCompensationPrior Investment Experience *Stocks which are listed on a national securities exchange.Mutual funds which hold a portfolio primarily consisting of stocks.Taxable bonds or other debt instruments.Tax exempt bonds. Partnerships, limited liability companies, corporations which invest in real estate or real estate investment trusts (REITs).Other types of investments not mentioned in any of the previous categories. (please describe)If other, please describe below:Are you an accredited investor? *Select OneYesNo (Use Sophisticated Investor Status Below)An Accredited Investor is defined by the Securities and Exchange Commission to include a natural person with: (1) a net worth or joint net worth with the persons spouse exceeding $1 million, not including the value of the primary residence, and / or (2) an annual income of $200,000 in each of the two most recent years, or joint income with a spouse exceeding $300,000 for those years and a reasonable expectation of the same income in the current year.Sophisticated Investor Status I have such knowledge and experience in financial, investment and business matters that I am capable of evaluating the merits and risks of any investments. I am using a financial advisor, planner, or consultant, or some other advisor who has such knowledge and experience in financial and business matters that he/she/it is capable of evaluating the merits and risks of any investments. (If this is checked, please complete the following section)Please check each item that applies. Name of AdvisorAdvisor EmailAdvisor Phone NumberThank you for completing the Qualified Investor Application. We look forward to speaking with you. Elixir Residential, LLC 535 Central Ave, Ste 412, Saint Petersburg, FL 33701 info@elixir-residential.com CommentSubmit