Form 45 106f12 2026

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The document is a Risk Acknowledgement Form (Form 45-106F12) for investors who are family members, friends, or business associates of the issuer. It outlines the risks associated with the investment, including potential loss of the entire investment and liquidity issues. The form requires the purchaser to confirm their relationship to the issuer and acknowledge their understanding of the risks before proceeding with the investment.

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Click ‘Get Form’ to open it in the editor.
In Section 1, provide details about your investment. Specify the type of securities and the issuer's name.
Move to Section 2 for risk acknowledgement. Initial next to each risk statement to confirm your understanding, and insert the total dollar amount of your investment.
In Section 3, indicate your relationship status by initialing the applicable criteria. Ensure you check all relevant boxes that apply to your situation.
Complete Section 4 by printing your first and last name, signing, and dating the form to confirm your understanding of the risks involved.
If applicable, have a contact person complete Section 5 with their details and signature.
Finally, ensure Sections 1, 5, and 6 are filled out before submitting. Each party must receive a signed copy for their records.

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