llc and lp investment - nuview trust · 2020. 11. 4. · llc and lp investment purchase...
TRANSCRIPT
-
Transaction Tips:Investments must be at arms length, not involving disqualified parties referenced in IRS 4975.
Some transactions may generate Unrelated Business Income Tax (UBIT), so consult with the investment sponsor, an investment advisor, and/or tax professional. NuView IRA does not know if and when UBIT applies within this investment, and it cannot be relied upon to provide any specific UBIT information.
Submit Documents Via:
My NuView Online PortalAccounts.NuViewIRA.com
Fax(407) 571-9541
MailNuView IRA Processing Office280 S. Ronald Reagan Blvd.Longwood, FL 32750
LLC AND LP INVESTMENT
Purchase InstructionsSimply follow the checklist below, and NuView will purchase this investment via your self-directed IRA. Please read and complete all documents in this packet, and return to NuView. Funding will be sent within three (3) business days upon receipt of ALL required documents, in good order.
NuView documents to be completed and submitted: Private Entity Purchase Authorization
Supporting documents to be completed and submitted: Completed and signed Subscription Agreement, if applicable
OR
Operating/Partnership Agreement, including a schedule of members indicating the IRA’s membership
Before submitting your transaction, please ensure: 1) Your self-directed IRA with NuView has been established
2) Your IRA has cleared funds available to make the investment
3) All investments have been titled in the hame of your IRA: NuView Trust Co. Custodian FBO [Client Name] IRA #
4) All instances of “Investor’s Address” are: 280 S. Ronald Reagan Blvd., Longwood, FL 32750
ALL SUPPORTING DOCUMENTS MUST BE INITIALED ON EVERY PAGE AS READ AND APPROVED OR THEY CANNOT BE PROCESSED.
Discover a new world of investment options.
-
*Additional documentation may be required
5
Do any of the above referenced parties:YES1.) Hold a position as a Director, officer, employee or affiliate of the entity? NO
YES NO
YES NO
YES NO
2.) Currently own or plan to own any of the available shares/units/percentage ownership of the entity?
2a.) (If Yes) Will the aggregate ownership be more than 50% of the entity or create a controlling interest?
If you answered yes to any of the above questions*, please explain:
*Additional documentation may be required
3.) Stand to realize a personal gain or benefit from your accounts investment into this entity?
Please check the appropriate boxes below as it relates to the following disqualified parties involvement with the entity your account will be investing into: You, Your Spouse, Children and Grandchildren and their Spouses, Parents and Grandparents.
PLEASE ANSWER THE FOLLOWING QUESTIONS5
Do any of the above referenced parties:YES1.) Hold a position as a Director, officer, employee or affiliate of the entity? NO
YES NO
YES NO
2.) Currently own or plan to own any of the available shares/units/percentage ownership of the entity?
2a.) (If Yes) Will the aggregate ownership be more than 50% of the entity or create a controlling interest?
If you answered yes to any of the above questions*, please explain:
*Additional documentation may be required
3.) Stand to realize a personal gain or benefit from your accounts investment into this entity?
Please check the appropriate boxes below as it relates to the following disqualified parties involvement with the entity your account will be investing into: You, Your Spouse, Children and Grandchildren and their Spouses, Parents and Grandparents.
PLEASE ANSWER THE FOLLOWING QUESTIONS5
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Do any of the above referenced parties:YES1.) Hold a position as a Director, officer, employee or affiliate of the entity? NO
YES NO
YES NO
2.) Currently own or plan to own any of the available shares/units/percentage ownership of the entity?
2a.) (If Yes) Will the aggregate ownership be more than 50% of the entity or create a controlling interest?
If you answered yes to any of the above questions*, please explain:
*Additional documentation may be required
3.) Stand to realize a personal gain or benefit from your accounts investment into this entity?
Please check the appropriate boxes below as it relates to the following disqualified parties involvement with the entity your account will be investing into: You, Your Spouse, Children and Grandchildren and their Spouses, Parents and Grandparents.
PLEASE ANSWER THE FOLLOWING QUESTIONS5
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Do any of the above referenced parties:YES1.) Hold a position as a Director, officer, employee or affiliate of the entity? NO
YES NO
YES NO
2.) Currently own or plan to own any of the available shares/units/percentage ownership of the entity?
2a.) (If Yes) Will the aggregate ownership be more than 50% of the entity or create a controlling interest?
If you answered yes to any of the above questions*, please explain:
*Additional documentation may be required
3.) Stand to realize a personal gain or benefit from your accounts investment into this entity?
Please check the appropriate boxes below as it relates to the following disqualified parties involvement with the entity your account will be investing into: You, Your Spouse, Children and Grandchildren and their Spouses, Parents and Grandparents.
PLEASE ANSWER THE FOLLOWING QUESTIONS5
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Do any of the above referenced parties:YES1.) Hold a position as a Director, officer, employee or affiliate of the entity? NO
YES NO
YES NO
2.) Currently own or plan to own any of the available shares/units/percentage ownership of the entity?
2a.) (If Yes) Will the aggregate ownership be more than 50% of the entity or create a controlling interest?
If you answered yes to any of the above questions*, please explain:
*Additional documentation may be required
3.) Stand to realize a personal gain or benefit from your accounts investment into this entity?
Please check the appropriate boxes below as it relates to the following disqualified parties involvement with the entity your account will be investing into: You, Your Spouse, Children and Grandchildren and their Spouses, Parents and Grandparents.
PLEASE ANSWER THE FOLLOWING QUESTIONS5
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Do any of the above referenced parties:YES1.) Hold a position as a Director, officer, employee or affiliate of the entity? NO
YES NO
YES NO
2.) Currently own or plan to own any of the available shares/units/percentage ownership of the entity?
2a.) (If Yes) Will the aggregate ownership be more than 50% of the entity or create a controlling interest?
If you answered yes to any of the above questions*, please explain:
*Additional documentation may be required
3.) Stand to realize a personal gain or benefit from your accounts investment into this entity?
Please check the appropriate boxes below as it relates to the following disqualified parties involvement with the entity your account will be investing into: You, Your Spouse, Children and Grandchildren and their Spouses, Parents and Grandparents.
PLEASE ANSWER THE FOLLOWING QUESTIONS5
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Do any of the above referenced parties:YES1.) Hold a position as a Director, officer, employee or affiliate of the entity? NO
YES NO
YES NO
YES NO
2.) Currently own or plan to own any of the available shares/units/percentage ownership of the entity?
2a.) (If Yes) Will the aggregate ownership be more than 50% of the entity or create a controlling interest?
If you answered yes to any of the above questions*, please explain:
*Additional documentation may be required
3.) Stand to realize a personal gain or benefit from your accounts investment into this entity?
Please check the appropriate boxes below as it relates to the following disqualified parties involvement with the entity your account will be investing into: You, Your Spouse, Children and Grandchildren and their Spouses, Parents and Grandparents.
PLEASE ANSWER THE FOLLOWING QUESTIONS5
Do any of the above referenced parties:YES1.) Hold a position as a Director, officer, employee or affiliate of the entity? NO
YES NO
YES NO
2.) Currently own or plan to own any of the available shares/units/percentage ownership of the entity?
2a.) (If Yes) Will the aggregate ownership be more than 50% of the entity or create a controlling interest?
If you answered yes to any of the above questions*, please explain:
*Additional documentation may be required
3.) Stand to realize a personal gain or benefit from your accounts investment into this entity?
Please check the appropriate boxes below as it relates to the following disqualified parties involvement with the entity your account will be investing into: You, Your Spouse, Children and Grandchildren and their Spouses, Parents and Grandparents.
PLEASE ANSWER THE FOLLOWING QUESTIONS5
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Do any of the above referenced parties:YES1.) Hold a position as a Director, officer, employee or affiliate of the entity? NO
YES NO
YES NO
2.) Currently own or plan to own any of the available shares/units/percentage ownership of the entity?
2a.) (If Yes) Will the aggregate ownership be more than 50% of the entity or create a controlling interest?
If you answered yes to any of the above questions*, please explain:
*Additional documentation may be required
3.) Stand to realize a personal gain or benefit from your accounts investment into this entity?
Please check the appropriate boxes below as it relates to the following disqualified parties involvement with the entity your account will be investing into: You, Your Spouse, Children and Grandchildren and their Spouses, Parents and Grandparents.
PLEASE ANSWER THE FOLLOWING QUESTIONS5
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Do any of the above referenced parties:YES1.) Hold a position as a Director, officer, employee or affiliate of the entity? NO
YES NO
YES NO
2.) Currently own or plan to own any of the available shares/units/percentage ownership of the entity?
2a.) (If Yes) Will the aggregate ownership be more than 50% of the entity or create a controlling interest?
If you answered yes to any of the above questions*, please explain:
*Additional documentation may be required
3.) Stand to realize a personal gain or benefit from your accounts investment into this entity?
Please check the appropriate boxes below as it relates to the following disqualified parties involvement with the entity your account will be investing into: You, Your Spouse, Children and Grandchildren and their Spouses, Parents and Grandparents.
PLEASE ANSWER THE FOLLOWING QUESTIONS5
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Do any of the above referenced parties:YES1.) Hold a position as a Director, officer, employee or affiliate of the entity? NO
YES NO
YES NO
2.) Currently own or plan to own any of the available shares/units/percentage ownership of the entity?
2a.) (If Yes) Will the aggregate ownership be more than 50% of the entity or create a controlling interest?
If you answered yes to any of the above questions*, please explain:
*Additional documentation may be required
3.) Stand to realize a personal gain or benefit from your accounts investment into this entity?
Please check the appropriate boxes below as it relates to the following disqualified parties involvement with the entity your account will be investing into: You, Your Spouse, Children and Grandchildren and their Spouses, Parents and Grandparents.
PLEASE ANSWER THE FOLLOWING QUESTIONS5
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pay for your fees? (Fees must be paid before transactions can be processed).Credit Card (complete card info below)Account (account must have sufficient funds for investment and fees)
Card Type: VISA MC AMEX DISCOVER
Credit Card Number: Exp. Date:
Billing Address:
Signature:
ACH
NuView IRA - Processing Office 280 S. Ronald Reagan Blvd., Suite 200
Longwood, FL 32750P: (877) 259-3256 | F: (407) 571-9541
For WIRE($30) or ACH - Please complete the info belowBank Name
Account Holder Name Account Number
For Credit To
For CHECK - Please complete the info belowMake Check Payable To
Mail Check To
Address
City, State, Zip
Send Check via:Regular Mail Overnight Mail ($30) Certified Check ($25)
ABA Routing Number
Address
City, State, Zip
Units: #______ $/Unit _______________ Shares: #______ $/Share _______________ Percentage: #______
Total Investment NAV
Share Class
Private EntityPurchase Authorization
NuView IRA www.nuviewtrust.com More Choices. More Control. page 1 of 2
ACCOUNT INFORMATION1Name (Your name as it appears in your plan)
Mr. Ms. Mrs. Dr.
Account Number
INVESTMENT DETAILS2Type of Entity you are investing in:*
LLC LP C-Corp Land Trust Other:
Entity Name
Address City, State, Zip Phone
What will the entity issue you for your investment?
*Subchapter S Corporations do not allow IRAs as investors *Investing an IRA in a "pass through" entity may cause Unrelated Business Income Tax. For more information, consult your tax professional or review IRS publication 598.
FUNDING INSTRUCTIONS Please send the funds for purchase via:3 WIRE CHECK TO BE PROVIDED
FEES4
How would you like to pa