Onboarding Form — Capital Creek Partners

CCP New Client Onboarding Forms

Please fill out the required information in Sections 1, 2, 3 and 4. Reach out to ops@capitalcreek.com if you have any questions!

SECTION 1: Name, Employment, Spouse, Children

Name

First Name

Last Name

Date of Birth

YYYY

Social Security Number

Phone

(###)

###

####

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

EMPLOYMENT

Employment

Years with Company

Position Held

Employment Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Work Phone

(###)

###

####

Assistant

Assistant Email

Assistant Phone

(###)

###

####

SPOUSE

Spouse Full Name

First Name

Last Name

Spouse Email

Spouse Date of Birth

YYYY

Spouse Social Security Number

Spouse Phone

(###)

###

####

Spouse Employment

Spouse Years with Company

Spouse Position Held

Spouse Employment Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Spouse Work Phone

(###)

###

####

Spouse Assistant

Spouse Assistant Email

Spouse Assistant Phone

(###)

###

####

CHILDREN

Child Name

First Name

Last Name

Child Date of Birth

YYYY

Child Name

First Name

Last Name

Child Date of Birth

YYYY

Child Name

First Name

Last Name

Child Date of Birth

YYYY

Child Name

First Name

Last Name

Child Date of Birth

YYYY

SIGNATURE

Capital Creek Partners and the client will review the information at least annually to determine whether the stated information and investment objectives are still relevant.

Name

First Name

Last Name

Date

YYYY

Please click the Submit button below before moving to the next section.

SECTION 2: Legal Entities

LEGAL ENTITIES AND TRUSTS: Fill out if applicable

Legal Name of Entity

Type of Entity

Garantor

If applicable

Entity Formation Date

YYYY

Source of Assets

Beneficiary of Entity/Trust

Tax ID

Trustee(s)

State of Entity Registration

Entity/Trust Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Trustee Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Legal Name of Entity

Type of Entity

Garantor

If applicable

Entity Formation Date

YYYY

Source of Assets

Beneficiary of Entity/Trust

Tax ID

Trustee(s)

State of Entity Registration

Entity/Trust Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Trustee Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Legal Name of Entity

Type of Entity

Garantor

If applicable

Entity Formation Date

YYYY

Source of Assets

Beneficiary of Entity/Trust

Tax ID

Trustee(s)

State of Entity Registration

Entity/Trust Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Trustee Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are there any prohibited or restricted securities or sectors?

If you selected "Yes" above, please explain:

SIGNATURE

Capital Creek Partners and the client will review the information at least annually to determine whether the stated information and investment objectives are still relevant.

Name

First Name

Last Name

Date

YYYY

Please click the Submit button below before moving to the next section.

SECTION 3: Investment Goals, Experience & Professional Contacts

INVESTMENT GOALS

Tax Status

Time Horizon

Return Objective / Risk Profile:

SUITABILITY

Net worth

Liquid Assets: (Cash / Marketable Securities)

INVESTMENT EXPERIENCE

How many years of experience in stocks?

How many years of experience in bonds?

How many years of experience in alternatives?

PROFESSIONAL CONTACTS

CPA Name

First Name

Last Name

CPA Firm

CPA Phone

(###)

###

####

CPA Email

Primary Attorney Name

First Name

Last Name

Primary Attorney Firm

Primary Attorney Phone

(###)

###

####

Primary Attorney Email

Estate Attorney Name

First Name

Last Name

Estate Attorney Firm

Estate Attorney Phone

(###)

###

####

Estate Attorney Email

Trustee Name

First Name

Last Name

Trustee Firm

Trustee Phone

(###)

###

####

Trustee Email

Executor Name

First Name

Last Name

Executor Firm

Executor Phone

(###)

###

####

Executor Email

Life Insurance Name

First Name

Last Name

Life Insurance Firm

Life Insurance Phone

(###)

###

####

Life Insurance Email

Other Name

First Name

Last Name

Other Firm

Other Phone

(###)

###

####

Other Email

Other Name

First Name

Last Name

Other Firm

Other Phone

(###)

###

####

Other Email

OTHER ILLIQUID ASSETS

This includes boats, planes, cars, art, furniture, jewelry, guns, etc.

Item #1

Item #1: Cost

Item #1: Value

Item #1: Maintenance Cost

Item #1: Leasing Income

Item #1: Debt Terms

Item #2

Item #2: Cost

Item #2: Value

Item #2: Maintenance Cost

Item #2: Leasing Income

Item #2: Debt Terms

Item #3

Item #3: Cost

Item #3: Value

Item #3: Maintenance Cost

Item #3: Leasing Income

Item #3: Debt Terms

Item #4

Item #4: Cost

Item #4: Value

Item #4: Maintenance Cost

Item #4: Leasing Income

Item #4: Debt Terms

Item #5

Item #5: Cost

Item #5: Value

Item #5: Maintenance Cost

Item #5: Leasing Income

Item #5: Debt Terms

SIGNATURE

Capital Creek Partners and the client will review the information at least annually to determine whether the stated information and investment objectives are still relevant.

Name

First Name

Last Name

Date

YYYY

Please click the Submit button below before moving to the next section.

SECTION 4: Other Illiquid Assets

OTHER ILLIQUID ASSETS

This includes boats, planes, cars, art, furniture, jewelry, guns, etc.

Item #1

Item #1: Cost

Item #1: Value

Item #1: Maintenance Cost

Item #1: Leasing Income

Item #1: Debt Terms

Item #2

Item #2: Cost

Item #2: Value

Item #2: Maintenance Cost

Item #2: Leasing Income

Item #2: Debt Terms

Item #3

Item #3: Cost

Item #3: Value

Item #3: Maintenance Cost

Item #3: Leasing Income

Item #3: Debt Terms

Item #4

Item #4: Cost

Item #4: Value

Item #4: Maintenance Cost

Item #4: Leasing Income

Item #4: Debt Terms

Item #5

Item #5: Cost

Item #5: Value

Item #5: Maintenance Cost

Item #5: Leasing Income

Item #5: Debt Terms

SIGNATURE

Capital Creek Partners and the client will review the information at least annually to determine whether the stated information and investment objectives are still relevant.

Name

First Name

Last Name

Date

YYYY