To help the government fight the funding of terrorism and money laundering activities, Federal law requires 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, date of birth, social security number and other information or documents that will allow us to identify you. This information will be subject to verification.
By signing and submitting this application, you give the CFSG Alternative Investment Fund (the "Funds") and its agents permission to collect information about you from third parties, including information available in public and private databases such as consumer reports from credit reporting agencies, which will be used to help verify your identity.
If you do not provide the information, we may not be able to open your account. If we open your account but are unable to verify your identity, we reserve the right to take such other steps as we deem reasonable, including closing your account and redeeming your investment at the net asset value next calculated after the Funds decide to close your account. Please see the Funds' Statement of Additional Information for further information.
All investments must be made by check or wire. All checks must be payable in U.S. dollars and drawn on U.S. financial institutions. The Funds do not accept purchases made by credit card, check, starter check, cash or cash equivalents (for instance, you may not pay by money order, cashier's check for $10,000.00 or less, bank draft or traveler's check).
State of Residence of Minor:
Joint Account/Rights of Survivorship (default option)
Joint Account/Tenants in Common (default in Louisiana)
Tenants by Entirety
Please note that if none of the boxes are checked, investors are assigned the Full Reinvestment option.
Please note that your property may be transferred to the state of your last known address if no activity occurs in your account within the time period specified by that state's law.
Under penalties of perjury, I certify that (1) the number shown on this form is my correct social security/taxpayer identification number (or I am waiting for a number to be issued to me), (2) that I have not been notified by the Internal Revenue Service ("IRS") that I am subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the IRS that I am subject to backup withholding for failure to report all dividends and interest income; or (c) the IRS has notified me that I am no longer subject to backup withholding, and (3) I am a U.S. person (either a U.S. citizen or resident alien).
The IRS does not require your consent to any provision of this document other than the certifications required to avoid backup withholding.
By my legal electronic signature below, I certify, on my own behalf or on behalf of the investor I am authorized to represent, that:
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.
Regular Mail to:
CASTLEBERRY FINANCIAL SERVICES GROUP, LLC
12794 Forest Hill Blvd., Suite 10
Wellington, Florida 33414