SOF III - 1081 Southern Financial LLC
Annex B to Investor Questionnaire
Investor Questionnaire Annex B Signature Page
The Investor consents to the provision of the verification documents referenced in this Annex B by the
Investor's Placement Agent to Deutsche Bank Trust Company Americas.
ENTITY INVESTOR SIGN HERE: INDIVIDUAL INVESTOR SIGN HERE:
(Print Name of Entity) (Print Name)
By:
(Signature) (Signature)
(Print Name and Title) (Date)
(Date)
Deutsche Bank Representative or other Witness signature (required):
Country in which this Agreement was signed:
B4
Confidential
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0109167
CONFIDENTIAL SDNY_GM_00255351
EFTA01452250