Common use of INFORMATION TO BE PROVIDED BY INDIVIDUAL INVESTORS Clause in Contracts

INFORMATION TO BE PROVIDED BY INDIVIDUAL INVESTORS. List the state in which you maintain your principal residence: Occupation: ____________________________________________________________ Employer: ______________________________________________________________ Name of business: _______________________________________________________ Length of time engaged in current business: ______ years. The current value of my liquid assets (cash, marketable securities, cash surrender value of my life insurance and other items easily convertible into cash) is sufficient to provide for my current needs and possible personal contingencies: ____ Yes ____ No Please indicate the frequency of your investment in marketable securities, i.e., those where prices are quoted regularly on exchanges or the over-the-counter market: _____ often _____ occasionally _____ seldom ____ never Do you consider yourself to be an experienced and sophisticated investor? ____ Yes ____ No Do you alone, or with your Purchaser Representative, have such knowledge and experience in financial and business matters that you are capable of evaluating the risks and merits of this investment and feel that you can afford the loss of my entire investment in the Units? ____ Yes ____ No

INFORMATION TO BE PROVIDED BY INDIVIDUAL INVESTORS. List Identify the state in which you maintain your principal residence: ___________________________ Occupation: ___________________________________________________________________ Employer: _____________________________________________________________________ Name of business: ______________________________________________________________ Length of time engaged in current business: _______ years. The current value of my liquid assets (cash, marketable securities, cash surrender value of my life insurance and other items easily convertible into cash) is sufficient to provide for my current needs and possible personal contingencies: ____ [ ] Yes ____ [ ] No Please indicate the frequency of your investment in marketable securities, i.e., those where prices are quoted regularly on exchanges exchange or in the over-the-counter market: _____ [ ] often _____ [ ] occasionally _____ [ ] seldom ____ [ ] never Do you consider yourself to be an experienced and sophisticated investor? ____ [ ] Yes ____ [ ] No Do you alone, or with your Purchaser Representative, have such knowledge and experience in financial and business matters that you are capable of evaluating the risks and merits of this investment and feel that you can afford the a loss of my your entire investment in the UnitsCompany? ____ [ ] Yes ____ [ ] No

INFORMATION TO BE PROVIDED BY INDIVIDUAL INVESTORS. List Identify the state in which you maintain your principal residence: _________________________ Occupation: ___________________________________________________________________ Employer: ____________________________________________________________________ Name of business: ______________________________________________________________ Length of time engaged in current business: _______ years. The current value of my liquid assets (cash, marketable securities, cash surrender value of my life insurance and other items easily convertible into cash) is sufficient to provide for my current needs and possible personal contingencies: ____ [ ] Yes ____ [ ] No Please indicate the frequency of your investment in marketable securities, i.e., those where prices are quoted regularly on exchanges exchange or in the over-the-counter market: _____ [ ] often _____ [ ] occasionally _____ [ ] seldom ____ [ ] never Do you consider yourself to be an experienced and sophisticated investor? ____ [ ] Yes ____ [ ] No Do you alone, or with your Purchaser Representative, have such knowledge and experience in financial and business matters that you are capable of evaluating the risks and merits of this investment and feel that you can afford the a loss of my your entire investment in the UnitsCompany? ____ [ ] Yes ____ [ ] No

INFORMATION TO BE PROVIDED BY INDIVIDUAL INVESTORS. List Identify the state in which you maintain your principal residence: ___________________________ Occupation: ___________________________________________________________________ Employer: _____________________________________________________________________ Name of business: ______________________________________________________________ Length of time engaged in current business: _______ years. The current value of my liquid assets (cash, marketable securities, cash surrender value of my life insurance and other items easily convertible into cash) is sufficient to provide for my current needs and possible personal contingencies: [ ] Yes [ ] No ______________________________________________________________________________ Yes ______________________________________________________________________________ No Please indicate the frequency of your investment in marketable securities, i.e., those where prices are quoted regularly on exchanges exchange or in the over-the-counter market: _____ [ ] often _____ [ ] occasionally _____ [ ] seldom ____ [ ] never Do you consider yourself to be an experienced and sophisticated investor? ____ [ ] Yes ____ [ ] No Do you alone, or with your Purchaser Representative, have such knowledge and experience in financial and business matters that you are capable of evaluating the risks and merits of this investment and feel that you can afford the a loss of my your entire investment in the UnitsCompany? ____ [ ] Yes ____ [ ] No