Fields in bold and marked with a * are required
Check all portions of paragraph (a) which are applicable:
(a) I have either:
a net worth (exclusive of homes, furnishing and automobiles) of at least three times the
full purchase price of my Unit(s) or fraction thereof and have, and anticipate continuing to have, future
income, some portion of which will be subject to a combined state and federal marginal income tax rate of at
a net worth of at least five times the purchase price of the Unit(s), or fraction thereof, being purchased
I am an attorney or accountant having extensive professional knowledge and experience concerning private
Check all portions of paragraph (b) which are applicable:
(b) I am an Accredited Investor as
defined in Rule 501 promulgated by the Securities and Exchange Commission in that:
my individual income exceeded $200,000 for the last two calendar years and I
reasonably expect to equal or exceed such income in the current calendar year.
my net worth, inclusive of homes,
automobiles and my spouse's net worth, exceeds $1,000,000.