Oil & Gas Lending - Request for Documents

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Oil & Gas Lending - Request for Documents

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Joint Lender? *

Primary Lender Information

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Secondary Lender Information

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Please enter your physical address below, may not be a P.O. Box

Trust / LLC Information

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Identification

To be in compliance with Know Your Customer and Anti Money Laundering regulations we require the following documentation for individual investors:

1) A copy of a valid government issued Photo I.D. (Drivers’ License or Passport).

2) A copy of a utility bill (as proof of address) in the name of the investor and dated not older than three (3) months.

3) A completed IRS Form W-9 dated within three (3) months of the subscription agreement (this will be included in your document package for you to validate and sign). 

To be in compliance with Know Your Customer and Anti Money Laundering regulations we require the following documentation for Joint Investors:

1) Both Investors: A copy of a valid government issued Photo I.D. (Drivers’ License or Passport).

2) A copy of a utility bill (as proof of address) in the name of the investor and dated not older than three (3) months. Note: Only one is required if the utility bill includes both names, or else each Investor must submit a bill, banking or some statement from a recognizable 3rd party with their name on it.

3) Both Investors must complete an IRS Form W-9 signed & dated within three (3) months of the subscription agreement, on an individual basis (the document cannot be completed with both names on it (this will be included in your document package for you to validate and sign). 

To be in compliance with Know Your Customer and Anti Money Laundering regulations we require the following documentation for investments via Trust Accounts:

1) Trust Deed, including the part setting out all parties to the Trust

     Full name of the Trust

     Official documentation outlining the nature and purpose of the Trust (e.g., discretionary, testamentary, bare)

     Country of establishment, and the registered address of the Trust

     Details of all Settlor, Trustee and Beneficiary name(s)

     Details of beneficiaries of 25% or more of the Trust, as well as details of any other individuals/entities who can exercise control over the Trust

2) A copy of a valid government issued Photo I.D. (Drivers’ License or Passport) for all beneficiaries of 25% or more of the Trust, as well as details of any other individuals/entities who can exercise control over the Trust and PEPs (politically exposed persons).

3) A copy of a utility bill (as proof of address) in the name of each beneficiary of 25% or more of the Trust, as well as details of any other individuals / entities who can exercise control over the Trust, and any PEPs (politically exposed persons), dated not older than three (3) months.

4) Completed IRS Form W-9 signed & dated within three (3) months of subscription agreement in the name of the subscribing entity (this will be included in your document package for you to validate and sign). 

To be in compliance with Know Your Customer and Anti Money Laundering regulations we require the following documentation for investments via Entities/LLCs:

1) A copy of a valid government issued Photo I.D. (Drivers’ License or Passport) for all shareholders and or Control (owning 10% or more or having the ability to control activity), directors, authorized signatories and PEPs (politically exposed persons).

2) A copy of a utility bill (as proof of address) in the name of each shareholder (owning 10% or more) or control person, director, authorized signatory and PEP dated not older than three (3) months.

3) A completed IRS Form W-9 signed & dated within three (3) months of subscription agreement in the name of the subscribing entity (included in your document package for you to verify and sign).

4) Certificate of formation or equivalent. Note: Any state issued registration certificate will suffice.

5) The Beneficial Owners Exhibit or Register of shareholders provided in the Subscription Agreement must be completed and list all shareholder/owners holding 10% or more interest in the entity.

6) An incumbency certificate confirming the title, signature, and authority of the individual or individuals authorized and (or) executing the subscription package.

OPTIONAL: If Beneficial Owners Exhibit, and(or) Incumbency certificate is not completed, then Article of Organization or Operating Agreement contain this information will be accepted in lieu.




Accredited - Sophisticated

To be eligible as a Lender in this transaction, you must either be “Accredited” according to the first three statements below or, if you are not yet accredited, you can also qualify as a lender by being “Sophisticated” according to the fourth statement below.

Please select the most appropriate attestation statement.

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FIRST STATEMENT: The Lender is “accredited” because he/she/it has:

  1. Net worth, excluding principal residence, of $1,000,000 or more; or
  2. Income of at least $200,000 for each of the last two years and it is expected to continue at that level this year; or
  3. Combined income with a spouse of at least $300,000 for each of the last two years which is expected to continue at that level this year.

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SECOND STATEMENT: The Lender is (otherwise) “accredited” within the meaning of 17 CFR §230.501. To include:

  1. An entity, in which all of the equity owners are accredited; or
  2. A trust, or corporation or partnership (within the meaning of Section 501(c)(3) of the Internal Revenue Code), with total assets in excess of $5,000,000, which is not formed for the specific purpose of acquiring the securities offered.

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THIRD STATEMENT: The Lender is “accredited” under a least one of the above two categories; however, for reasons of financial privacy, elects not to specify the precise basis for eligibility.

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FOURTH STATEMENT: The Lender is “sophisticated” and well-informed within his/her/its state of residence under the following criteria:

  1. The lender has a net worth of $250,000 or greater; and
  2. The lender has received and reviewed material from Borrower which was thorough, fair and factual, which allowed Lender to make a well-informed decision regarding the merits, risk, and purpose of the loan and to understand the experience and financial strength of the borrower; and
  3. Lender’s cost (amount of loan) is not material when compared to the Lender’s overall financial capacity and will not exceed 10% of net worth;
    •  For example, A $500,000 net worth supports a loan of $50,000; and
  4. The lender, or its representative, has general knowledge of finance, securities, loans and investments based on actual participation. (If a representative, they shall have no business relationship with Borrower and shall be compensated only by Lender.) and
  5. By attesting that I am “sophisticated” I am also attesting that I am not an “accredited” lender and my lending options are therefore limited.
Is the Lender Accredited or Sophisticated?

Informed Lending Statement

It is important to us your client is making an informed decision regarding participating in Choice Energy Holdings. As the agent please make sure your client has been provided with the educational material on your affiliate link. All disclosure documents can be found in the flipping book linked to the Choice Energy Holdings opportunity page on your affiliate link.
I have provided the disclosure documents to my clients. They have read and understood the risks associated with lending to Choice Energy Holdings.
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Loan Options

If the lender is Sophisticated they are limited to lending no more than 10% of their net worth. For sophisticated lenders, the largest loan amount permissible is $99,000.00.  

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