Investor Account Form – Custodial

BEFORE YOU BEGIN - Gather & Prepare Information

What type of account do you want to open?*

Pension Plan, Profit Sharing, 401(k) Plan, or Irrevocable Life Insurance
UTMA or UGMA

REQUIRED DOCUMENTATION FOR IRREVOCABLE LIFE INSURNACE TRUST, PENSION PLAN, PROFT SHARING PLAN, OR 401(k) PLAN ACCOUNTS

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

Pre-Consent E-Sign Authorization Disclosure
Plan/Trust Documents and/or Adoption Agreement must be provided and include the following:

Legal Plan/Trust Name and Effective Date
Name(s) of the Trustee(s), Insurer(s), Administrator(s) and/or Custodian
Power or authority to invest Plan/Trust Assets
Vesting requirements (if applicable) )
Submitted Plan/Trust Documentation must include the signature page of the Plan/Trust

Form SS-4 to verify Tax Identification Number matches Plan Name
W-9 Form for the Custodian
Copy of Valid Government Issued Identification for two (2) authorized signers of the Plan/Trust.
Additional signers can be added by completing an Interested Party Designation Form

REQUIRED DOCUMENTATION FOR UNIFORM TRANSFERS OF MINOR ACT (UTMA) or UNIFORM GIFTS TO MINORS ACT (UGMA) ACCOUNT

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

Pre-Consent E-Sign Authorization Disclosure
W-9 Form for the Minor (executed by the Guardian)

Copy of Social Security Card for Minor
Copy of Government Issued Identification for Guardian

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

Account Type*

Vesting (Ownership Title)

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

Section 2: For Pension Plan, Profit Sharing Plan and 401(k) Plan Accounts Only

The Custodial Plan will be the responsible entity for IRS tax reporting purposes unless otherwise defined.

Upload Plan Documents*

Irrevocable Life Insurance Trust, Pension Plan, Profit Sharing Plan, or 401(k) This would include plan/trust documents and/or Adoption Agreement including legal plan/trust name and effective date, name(s) of the Trustee (s), Insurer(s), Administrator(s) and/or Custodian, power or authority to invest plan/assets, vesting requirements (if applicable), and the signature page of the plan/trust.

Custodial Plan Name*

CUSTODIAN INFORMATION (if applicable)

Name of Plan Custodian

Custodial Plan EIN

Upload SS-4 for showing Tax Identification Number*

Is the Custodian the taxable entity?

Yes
No

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 for the plan. Need to download a Form W-9? Click here.

Plan Custodian Address

Street Address City State Zip Code

Plan Custodian Phone

Plan Custodian E-mail Address

ADMINISTRATOR INFORMATION (if applicable)

Name of Plan Administrator

Plan Administrator Address

Street Address City State Zip Code

Plan Administrator Phone

Plan Administrator E-mail Address

Section 3: Authorized Primary Account Owner Information

Below is/are the authorized signer(s) to make investments on behalf of the Plan.

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

Authorized Primary Salutation*

Authorized Primary Plan Title (if applicable)

Example: Trustee, Manager, etc.

Authorized Primary First Name*

Authorized Primary Middle Name

Authorized Primary Last Name*

Authorized Primary Suffix

Authorized Primary DOB*

Authorized Primary SSN*

The SSN will only be used for verification purposes if the Plan is the taxable entity. For plan accounts without a custodian EIN identified the Authorized Primary Account Owner will be the taxable person and must provide an electronic copy of Form W-9 (Department of the Treasury IRS) for tax purposes.

Authorized Primary Address*

Street Address City State Zip Code

Authorized Primary Phone Number*

The Authorized Primary Phone Number will be the phone number used for all telephone correspondence.

Authorized Primary E-mail Address*

The Authorized Primary Email Address will be the email address used for all electronic correspondence.

Authorized Primary Type of Government Issued ID*

Authorized Primary Government ID #*

Authorized Primary ID Exp. 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: Authorized Secondary Account Owner

Below is/are the authorized signer(s) to make investments on behalf of the Plan.

Account will have a Secondary Account Owner assigned to it:

Yes, the account will have a Secondary Account Owner
No, the account will NOT have a Secondary Account Owner

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

Authorized Secondary Salutation

Authorized Secondary Plan Title (if applicable)

Example: Trustee, Manager, etc.

Authorized Secondary First Name

Authorized Secondary Middle Name

Authorized Secondary Last Name

Authorized Secondary Suffix

Authorized Secondary DOB

Authorized Secondary SSN

The SSN will only be used for verification purposes, if the Plan is the taxable entity. For plan accounts without a custodian EIN identified the Authorized Primary Account Owner will be the taxable person and must provide an electronic copy of Form W-9 (Department of the Treasury IRS) for tax purposes.

Authorized Secondary Address

Street Address City State Zip Code

Authorized Secondary Phone Number

The Authorized Secondary Phone Number will be the phone number used if the Authorized Primary Phone Number is disconnected or non-responsive.

Authorized Secondary Email Address

The Authorized Secondary Email Address will be the email address used for all electronic correspondence related to the investments.

Authorized Secondary Type of Government Issued ID

Authorized Secondary Government ID #

Authorized Secondary ID Exp. 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 5: For UTMA/UGMA Accounts Only

The Minor will be the responsible person for IRS tax reporting purposes.

MINOR INFORMATION

Minor First Name*

Minor Middle Name

Minor Last Name*

Minor DOB*

Minor SSN*

Upload a copy of the Minor's Social Security Card*

An electronic copy of the Minor's Social Security Card is required for verification purposes.

W-9 Form for the Minor (executed by the Guardian)*

An electronic copy of Form W-9 (Department of the Treasury Internal Revenue Service) is required to be provided for tax purposes. Need to download a Form W-9? Click here.

Minor Address*

Street Address City State Zip Code

GUARDIAN INFORMATION

Guardian First Name*

Guardian Middle Name

Guardian Last Name*

Guardian Address*

Street Address City State Zip Code

Guardian Phone Number*

The Authorized Secondary Phone Number will be the phone number used for all telephone correspondence related to the investments.

Guardian Email Address*

The Guardian Email Address will be the email address used for all electronic correspondence related to the investments.

Guardian Type of Government Issued ID*

Guardian Government ID #*

Guardian ID Exp. 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 6: Client Relationship Questions

Is the Authorized Primary or Guardian related to an employee at Ignite Funding?*

Yes
No

If yes, Name*

Relationship*

Is the Authorized Secondary related to an employee at Ignite Funding?

Yes
No

If yes, Name*

Relationship*

Section 7: 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 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/our initials below, I/we agree and acknowledge that I/we meet the minimum financial requirements in order to invest in a mortgage loan.

Authorized Primary or Guardian Initials*

Authorized Secondary Initials

Section 8: Disbursement Profile

All disbursements of monthly interest payments and/or loan pay down/payoffs will be automatically deposited into the bank account as defined by the instructions below. Ignite Funding highly recommends verifying that the bank account and routing number are accurate with your financial institution as Ignite Funding cannot be held responsible for inaccurate information being provided.

Select Bank Account Type*

Bank Name*

Bank Address*

Street Address City State Zip Code

Bank Account #*

Bank Routing #*

Section 9: Other Forms

If there are any files not previously addressed in this application that you would like associated with this account please upload them here or email them to info@ignitefunding.com. Examples would include a Limited Power of Attorney or an Interested Party Designation Form.

Other associated files - LPOA

Other associated files - Interested Party Designation

Other associated files - Interested Party ID

Section 10: 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.

Primary Account Owner or Guardian Signature*

Date*

Secondary Account Owner Signature

Date

Ignite Funding Principal Approval Signature

Date