1608 A Street Condominium Conversion Project

CO-LENDER RESERVATION

First Name *

Last Name *

Email *

Phone *

Primary Investor Profile *

Individual

Entity

Entity Name *

Primary Contact Title / Position *

Address

Street Address *

City *

State *

Postal code *

Principal Investment Amount

Investment Term (in months) *

12 months

24 months

Payment Frequency *

Monthly (12%)

Quarterly (15%)

Annually (18%)

ACKNOWLEDGEMENTS

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By checking this box, I understand that the Issuer will rely on the certification in this form and Subscriber Agreement to verify my status for participation in the above-referenced offering as an “accredited investor” as defined under Rule 501(a) of Regulation D of the Securities Act of 1933.

Referred By *

Please enter the first and last name of the member, advisor or affiliate who referred you.