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Please certify at least one of the following SEC criteria:
Based on your investment source, the following documents are required to complete your subscription.
Strata Trust will serve as the qualified custodian for your IRA. This information establishes your account.
Provide details of your existing IRA custodian to initiate a direct custodian-to-custodian transfer.
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This form instructs Strata Trust to purchase Black Wealth Fund bonds on behalf of your IRA.
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The undersigned ("Subscriber") hereby subscribes for and agrees to purchase from Black Wealth Fund, LLC (the "Company") the above-referenced principal amount in private bonds under the terms and conditions of this Subscription Agreement and the Private Placement Memorandum.
Subscriber represents and warrants that: (i) Subscriber is an "accredited investor" as defined in Rule 501 of Regulation D; (ii) Subscriber is acquiring the bonds for investment purposes only and not with a view to resale or distribution; (iii) Subscriber has received and reviewed the Private Placement Memorandum and understands the risks involved.
Subscriber acknowledges that the bonds are illiquid, subject to restrictions on transfer, and that there is no assurance of any return on investment. Subscriber has consulted their own legal, tax, and financial advisors.
This Agreement shall be governed by the laws of the State of Georgia.
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FOR VALUE RECEIVED, The Black Wealth Company, LLC, a Georgia limited liability company ("Maker"), hereby promises to pay to the order of — ("Holder"), the principal sum set forth above, together with interest accruing at the rate stated, under the terms and conditions described in the Subscription Agreement and any supplemental offering documents executed in connection herewith.
This Note is issued under and pursuant to Regulation D promulgated under the Securities Act of 1933, as amended. Transfer is restricted in accordance with applicable securities laws.
This Note shall be governed by and construed in accordance with the laws of the State of Georgia.
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Your — investment application has been submitted successfully.
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CC: jerry@blackwealthcompany.comJerry has been notified at jerry@blackwealthcompany.com
Countersignature pending for approvalQuestions? Contact jerry@blackwealthcompany.com | 877-666-6396
THE BLACK WEALTH COMPANY