Confirmation of investment

LX Financial LLC

Investment confirmation

I confirm participation in the following investment, subject to my further due diligence, and review of closing documents.

Investment # *

Investment amount ($) *

First Name *

Last Name *

City *

State

Street Address *

Country

Zip/Postal Code *

Phone Number *

Email *

Please provide the name and address of the investing entity (if other than above)

Questions, comments, other