Contents Investor Questionnaire Investor InformationGeneral InformationEmployment InformationEducation InformationFinancial Situation Investment Experience Other ConsiderationsInvestor ObjectiveSignatureInvestor Questionnaire Completing the Form in multiple Sessions: Scroll to the bottom and use the “Save as Draft” Option to the right of the blue “Submit” button at any point you want to stop – this allows you to complete the form in multiple sessions if that is needed. This questionnaire is based on the State of California Department of Real Estate Investor Questionnaire (RE 870, Rev. 8/18) and is intended to assist brokers in determining an investor’s suitability for trust deed and real property sales contract investments as required by the Business and Professions Code Section 10232.45. 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 website at www.dre.ca.gov under the Publications menu. Immediately following the submission of this Investor Questionnaire, CASCO Financial will review the information provided and (upon approval) send an invitation to complete the CASCO Financial | Investor Acknowledgement Agreement.Date *Investor Information If 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.Investor First and Last Name *Co-Investor First and Last NameName of EntityType of OrganizationPlease Specify If Limited Liability Company, Partnership, Pension Plan, Retirement Plan, etc.First and Last Name of Person completing Questionnaire *TitleEmail Address *General Information Investor AddressStreet Address *City *State *ZIP *Co-Investor AddressStreet AddressCityStateZIPInvestor Phone *Co-Investor PhoneInvestor Birthdate *Required Format: MM-DD-YYYYCo-Investor BirthdateRequired Format: MM-DD-YYYYEmployment InformationCurrent Position Investor *Current Position Co-InvestorInvestor Employment StatusEmployedSelf-EmployedRetiredCheck what appliesCo-Investor Employment StatusEmployedSelf-EmployedRetiredCheck what appliesInvestor – Amount of time in Years *Co-Investor – Amount of time in YearsInvestor: Previous Positions or Professions *Co-Investor: Previous Positions or ProfessionsEducation InformationInvestor: How many years total completed? *Co-Investor: How many years total completed?Investor: Graduation Year? *Co-Investor: Graduation Year?Investor: Degree or Diploma *Please SelectHigh School DiplomaAssociate DegreeBachelor’s DegreeGraduate DegreeMaster’s DegreeDoctorate DegreeFirst Professional*OtherCo-Investor: Degree or DiplomaPlease SelectHigh School DiplomaAssociate DegreeBachelor’s DegreeGraduate DegreeMaster’s DegreeDoctorate DegreeFirst Professional*OtherInvestor: If "Other" is selectedCo-Investor: If "Other" is selectedFinancial Situation Estimated Annual Income *Please SelectUnder $50’000$50’000 to $100’000$100’000 to $200’000$200’000 to $300’000$200’000 to $300’000$300’000 to $500’000$500’000 to $750’000$750’000 to $1’000’000$1’000’000 to $5’000’000$5’000’000 to $10’000’000Over $10’000’000Estimated Liquid Assets *Please SelectUnder $50’000$50’000 to $100’000$100’000 to $200’000$200’000 to $300’000$200’000 to $300’000$300’000 to $500’000$500’000 to $750’000$750’000 to $1’000’000$1’000’000 to $5’000’000$5’000’000 to $10’000’000Over $10’000’000Include Cash in Bank, readily marketable Stocks and BondsSource of Income and Cash Resources *Liquidity Needs *Primary need is Liquidity or CashNeed some Liquidity for possible quick Access to CashNo Liquidity needed – Have other sources for CashPlease select one of the aboveInvestment Experience Please report Investment Experience in YearsNo Investment ExperienceMutual FundsReal EstateStocks or SharesAnnuitiesBondsNotesOptionsInvestment Experience in NotesThese reference Notes secured by Trust Deeds or Real Property Sales ContractsOther – please specifyNumber of previous Investments in NotesThese reference Notes Secured by Trust Deeds or Real Property Sales ContractsOther Investments currently held by the InvestorOther Considerations Please Provide Other Business, Educational, or Financial Experiences, Financial Situations, Investment Considerations, Training (Including Continuing Education, Seminars, etc) or Professional Certifications and LicensesDescribe HereInvestor Objective Please Provide The Objective Of Investor(s) For Purchasing Or Investing In Trust Deeds Or Real Estate Property Sales ContractsDescribe Objective Here *I certify (or declare) with my signature below, 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 the risk of loss of principal and monthly income.Signature Pointing Device Signature Capture allows you to add your signature using a mouse or a touch-screen. Date *Pointing Device Signature CaptureSign here with mouse or touch-screenYour browser does not support e-Signature field.If NO POINTING DEVICE is available, your typed signature below sufficesSigned *We appreciate any feedback regarding the completion of this form – it will help us optimize it!Describe your User Experience© 2022 Copyright CASCO financial SubmitSave as DraftPlease do not fill in this field.
