Investor Account Form – IRA

BEFORE YOU BEGIN - Gather & Prepare Information

Please note that the following items will be needed to complete your application.

REQUIRED DOCUMENTATION FOR IRA ACCOUNTS

You will need to print, execute, and scan the following documents before you proceed with the application process.

Pre-Consent E-Sign Authorization Disclosure
W-9 Form for the Custodian
Copy of a Valid Government Issued Photo Identification for all signers

If you have further questions reference the account checklist in STEP ONE of the previous page to see which forms are needed based on the account type. Anywhere you see a green asterisk (*) signifies a required field that must be completed.

E-Sign Authorization Form Upload*

Upload the E-Sign Authorization form. We cannot accept your application without this form.

Where did you hear about Ignite Funding?*

Section 1: Type of Account

IRA Type*

IRA Account Number*

The account number is required by many custodians to be included in the vesting name.

Vesting (Ownership Title)

Vesting (Ownership Title) will be completed by Ignite Funding. Your Vesting Name will be defined on all investment documentation.

Section 2: Custodian

Custodian Name*

Custodian EIN*

If you are unable to get your Custodian's EIN, enter all zeros to temporarily bypass and submit your application. After submission, we will contact you and work with you and your Custodian to obtain this information.

Custodian Address*

Street Address City State Zip Code

Custodian Business Phone*

Custodian Email Address*

Administrator Name Associated with Custodian (if applicable)

Form W-9*

An electronic copy of Form W-9 (Department of the Treasury Internal Revenue Service) is required to be provided for tax purposes. If you are unable to get your Custodian's W9, we will contact you and work with you and your Custodian to obtain this information. Need to download a Form W-9? Click here.

Section 3: IRA Account Owner Information

To help the government fight the funding of terrorism and money laundering activities, Federal law (Section 326 of the USA PATRIOT Act of 2001) requires all financial institutions to obtain, verify and record information that identifies each individual or institution who opens an account with Ignite Funding. When you open an account, we are required to obtain your name, address, date of birth, social security number or tax identification number and other information that will allow us to identify you. This information will be verified to ensure the identity of all persons opening an account. The information may be compared to information obtained through third party sources, as permitted by law. If we cannot verify this information, your account may not be opened, or it may be restricted and/or closed. Ignite Funding is not responsible for any losses or damages including, but not limited to, lost opportunities you may incur.

Marital Status*

Single
Married

IRA Account Owner Salutation*

IRA Account Owner First Name*

IRA Account Owner Middle Name

IRA Account Owner Last Name*

IRA Account Owner Suffix

IRA Account Owner DOB*

IRA Account Owner SSN*

The SSN will only be used for verification purposes.

IRA Account Owner Address*

Street Address City State Zip Code

IRA Account Owner Phone Number*

This phone number will be used for all telephone correspondence.

IRA Account Owner Email Address*

This email address will be used for all electronic correspondence.

IRA Account Owner Type of Government Issued ID*

IRA Account Owner ID #*

IRA Account Owner ID Expiration Date*

Upload your copy of a Government Issued ID*

An electronic copy of a Government Issued ID (Driver's License, State Issued Identification or Passport) is required to be provided for verification purposes.

Section 4: Custodian Disbursement Information

Disbursements of monthly interest payments and loan pay downs/payoffs for IRA accounts will be disbursed directly to the Custodian and are not eligible to be sent directly to the IRA Account Owner.

Bank Account Name of Custodian*

Checks will be issued in the Vesting (Ownership Title). Example: "Custodian Name, FBO IRA Account Owner Name, IRA Type"

Custodian Address*

Street Address City State Zip Code

Section 5: Client Relationship Questions

Is the IRA Account Owner related to an employee at Ignite Funding?*

Yes
No

If yes, Name*

Relationship*

Section 6: Suitability Requirements

Pursuant to NRS 645B, investors must meet minimum financial requirements in order to invest in a mortgage loan. Before an investor may invest in any mortgage loan, the investor must verify that he/she meets one or more of the following financial requirements:

The investor's net worth is more than $250,000.00, excluding any equity in any real property used as the primary residence at the time of the investment; or
The investor's net income was more than $70,000.00 for each of the previous 2 tax years and there is a reasonable expectation of attaining or exceeding the same income for the current year.

The total investments in mortgage loans transacted by a mortgage broker or mortgage agent are not valued at more than 50% of the investor's net worth or net annual income. By my initials below, I agree and acknowledge that I meet the minimum financial requirements in order to invest in a mortgage loan.

IRA Account Owner Initials*

Section 7: Acknowledgement

I/We acknowledge receiving a copy of this Investor Account Form and I/we have had the opportunity to read it and understand it. Furthermore, I/we acknowledge that I/we have read all of the information on this Investor Account Form, have reviewed the terms and conditions of this agreement including all information contained in this Investor Account Form, and do hereby verify that all of the information provided is true and correct and may be relied upon by Ignite Funding for any purposes related hereto. Further, I/we do hereby indemnify Ignite Funding, their officers, directors, shareholders, agents, employees, attorneys, insurers, insured, successors, heirs, and assigns, and any parents, affiliates and/or subsidiaries, for any loss, claims or damages, including legal fees, which may be incurred as a result of any violations resulting from their reliance upon the information I/we have provided. I/we also acknowledge my/our responsibility to read the trust deed summary sheet of any investment selection offered. I/WE ACKNOWLEDGE THAT IGNITE FUNDING DOES NOT PROVIDE INVESTMENT, TAX OR LEGAL ADVICE.

To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify and record information that identifies each person who opens an account. What this means for you: When you open an account, we will ask for your name, address, government-issued identification number, date of birth and other information that will allow us to identify you. We will ask to see and copy your valid driver's license or other identifying government issued photo identification.

NON-BINDING ARBITRATION AGREEMENT

The customer and Ignite Funding agree that all controversies which may arise between the customer and/or investment associate concerning any transaction or the construction, performance, or breach of this or any agreement pertaining to trust deed investments or other property, whether entered into prior, on or subsequent to the date hereof, shall be determined by non-binding arbitration. Any non-binding arbitration under this Agreement shall be conducted pursuant to the Federal Arbitration Act and the laws of the State of Nevada before the American Arbitration Association located in Clark County, Nevada in accordance with the rules of the selected organization.

CLASS ACTIONS

No person shall bring a punitive or certified class action to arbitration, nor seek to enforce any pre-dispute non-binding arbitration agreement against any person who has initiated in court a punitive class action, or who is a member of a punitive class who has not opted out of the class with respect to any claims encompassed by the punitive class action until: (1) the class certification is denied; (2) the class is decertified; or (3) the customer is excluded from the class by the court.

This agreement shall be deemed to have been made in the State of Nevada and shall be conjured and the rights and liabilities of the parties determined, in accordance with the laws of the State of Nevada.

IRA Account Owner Signature*

Date*

Ignite Funding Principal Approval Signature

Date