World Trade Center Fort Lauderdale EB-5 Investor Accreditation

View questionnaire in English | Spanish | Mandarin | Portuguese

888 SE 3rd Ave - Suite 400
Fort Lauderdale, FL 33316 USA
Phone - 954-674-1468 Fax - 888-674-8371
www.wtcfl.com

EB5 Investor Accreditation Questionnaire - Preliminary Evaluations

Which World Trade Center, Individual or Organization referred you to the EB-5 Program?

1. Do you have a criminal record?	Yes	No
2. Do you have documentation to support your last five years of tax returns from your home country?	Yes	No
3. Do you have a net worth of greater than US$1,000,000 or have generated greater than US$200,000 income annually in the last two years?	Yes	No
4. Can you justify the source of funds for the US$500,000 investment being made in the EB-5 program?	Yes	No
5. Were the funds intended for the US$500,000 investment secure by personal savings, inheritance, gift or other lawful means?	Yes	No
6. Do you have a college or university diploma or business work history?	Yes	No

Applicant Information

Note: If your native language is other than Roman letters, please provide your name and complete
address in your native alphabet (i.e. Russian, Chinese, Japanese, Korean, etc).

Full Name
Home Address
Country
Phone Number
Email Address
Native Language

Do you understand English?	Yes	No
Do you speak English?	Yes	No

Investment Advice

It is recommended and expected that you will consult your investment and legal advisor prior to any investment in an EB-5 Regional Center to conclude if the investment matches your investment objectives and risk tolerance.


Type your name above as verification that the information on this form is accurate		Date

Please complete this form and submit. A representative from the Behar Law Group (Fort Lauderdale, FL USA) or the World Trade Center Fort Lauderdale will be in contact with you shortly to continue the EB-5 approval process.