By submitting this preliminary intake form, I confirm that the information I have provided is true and accurate to the best of my knowledge.

I understand that:

• This form is an initial inquiry and pre-qualification questionnaire.
• Submission does not constitute approval or a commitment to provide funds.
• Additional property, ownership, financial, and other documentation may be required.
• Any potential transaction will be subject to eligibility requirements, verification, valuation, applicable laws and regulations, and separate written agreements.
• The terms of any transaction will be provided separately before I make a final decision.
• I may seek independent legal, tax, and financial advice before entering into any agreement.
• I understand that a home-equity participation arrangement may involve sharing in future property appreciation or equity.
• I understand that the final amount, terms, costs, and participation percentage, if any, will be determined separately and disclosed before any transaction is completed.