Investor Certification

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Please be assured that this information will be kept strictly CONFIDENTIAL. Halbert Wealth Management will never sell or otherwise share your personal information with anyone. (Privacy policy)
 
Your Name:      Spouse's Name:
Daytime Phone Number:
Email:
 

For individuals, select all categories that apply to your financial situation.

Accredited Investor
  Any natural person whose individual net worth, or joint net worth with that person's spouse, at the time of his purchase exceeds $1,000,000, excluding the value of your primary residence.*
  Any natural person who had an income in excess of $200,000 in each of the two most recent years or joint income with that person's spouse in excess of $300,000 (both spouses should sign) in each of those years and has a reasonable expectation of reaching the same income level in the current year.
 
Qualified Client
A Qualified Client is generally a natural person whose individual net worth, or joint net worth with that person's spouse, at the time of purchase exceeds $2,100,000, excluding the value of your primary residence*
  Yes, I am a Qualified Client
 
Qualified Purchaser
A Qualified Purchaser is generally a natural person whose individual net worth, or joint net worth with that person's spouse, at the time of purchase exceeds $5,000,000, excluding the value of your primary residence*
  Yes, I am a Qualified Purchaser
 
* When calculating net worth, you should (i) exclude your primary residence as an asset, (ii) exclude debt secured by your primary residence, up to the fair market value of your residence, (iii) include the amount of any increase on the debt secured by your primary residence incurred within the last 60 days of making a purchase of the securities (unless related to the acquisition of your primary residence, and (iv) include debt in excess of the fair market value of your primary residence.

Electronic Signature Affirmation

By entering your name and the completion date below, you are providing your electronic affirmation that the information you have provided is accurate as of the date listed, and fairly and completely represents your current financial condition. By signing, you also acknowledge that you understand recommendations made by HWM will be based on this information, plus any subsequent information you may provide orally or in writing.

Enter your name here:      Date of completion:


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ELECTRONIC SIGNATURE AFFIRMATION
By submitting this form, I represent and certify that my foregoing statements and entered information are true and correct.

Review the HWM privacy policy.