Set Up a New Investment With Midland

To set up a new investment, Midland requires this form to be completed before onboarding IRA investors. This form helps us better understand the nature and expectations of the investment. We will determine the administrative feasibility and tailor our excellent customer experience. Midland does not perform due diligence on any investment offering. We do not need performance reporting or audited financials. Midland does not review for investment viability or suitability.

Issuer Information

Investment Information

Investment: Additional Information

This will help us better service your investors

Investment: Additional Information

This will help us better service your investors

Wire Instructions

1. Issuer agrees to register ownership of investment to:
   Midland Trust Company, As Custodian FBO (Client Name) (Client Account Number) P.O. Box 07520, Fort Myers, FL 33919
2. Issuer understands that the Taxpayer EIN for all Midland investments held in Traditional, Roth, SEP, Simple,HSA, and ESA accounts is 47-5560347. The IRA investors’ SSN should never be used for reporting purposes for retirement account investments. Employer plans such as 401k plans have a unique Tax ID for the plan.
3. Issuer agrees to issue all payments, income, dividends, distributions and/or payoffs directly to Midland IRA.Due to regulation, it is not acceptable to send funds directly to an IRA holder.
4. Issuer understands that Midland has not performed any due diligence on this investment, and understands that Midland IRA does not endorse this investment.
5. Issuer agrees that the investments offered are not directly or indirectly related to any asset class deemed illegal by the Federal Government.
6. Issuer agrees to provide Midland with annual valuation information as defined by IRS Publication 590
7. Issuer agrees to provide Midland with evidence of ownership of each investment including original stock certificates, or written confirmation.
8. Issuer acknowledges that IRAs are restricted from making mandatory capital calls if the capital call results in a prohibited transaction. Any additional investment will be done so on the account holder’s discretion.
9. Issuer agrees to inform Midland if they become aware of any prohibited transaction as defined in IRC 4975.This would include IRA transactions with prohibited parties, transactions that personally benefit the IRAholder, and/or investments in life insurance or collectibles, which are prohibited by IRC 4975.
10. Issuer agrees to notify Midland of any changes in address contact, or company status.
11. Issuer understands that Midland does not promote, sell, or distribute any investment, including the investment described in this document. Additionally, Midland will not provide investment, tax, or legal advice to any party,including the issuer and/or IRA holders. Issuer understands that Midland IRA is a self-directed IRA administrator not an investor.
12. Issuer agrees to not make any representations to any party that may contradict the language in this document.

READ, UNDERSTOOD, AND AGREED TO BY: