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Investor Qualification Questionnaire

Liberty Group Investments, LLC. actively seeks qualified investors to invest in its assets. We seek to work solely with accredited investors.

If you are interested in learning more about specific future investment opportunities through Liberty Group Investments, LLC., please complete the questionnaire below.

The information you supply below will be kept strictly confidential and is only for the purpose of providing you information about possible future investment opportunities, if you qualify financially to review such information.

This is not an offer of securities. The actual investment offering will be made only through a Private Placement Memorandum.

After you complete this questionnaire, we will contact you. Thanks for your interest in Liberty Group Investments, LLC.

Fields marked (*) are required

*Full Name:

*Email Address:

*Day Phone:

Evening Phone:

Best Time To Reach

How Did You Hear About Us

*Approximate Assets Available to Invest

*Your Investment Profile
Conservative Moderate Aggressive

*At least one of the following questions must be checked to qualify as a purchaser:

I have had an individual income in excess of $200,000 in each of the two most recent years and reasonably expect an individual income in excess of $200,000 in the current year.

My spouse and I have had joint income in the excess of $300,000 in each of the two most recent past years and we reasonably expect joint income of $300,000 or more in the current year.

I have an individual net worth or joint net worth with my spouse in excess of $1,000,000.

I have read the required disclaimer (click here) and the foregoing statements are true and accurate to the best of my information and belief and I will promptly notify Liberty Group Investments, LLC. of any changes in the foregoing answers.










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