SFO Hills Questionnaire

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Please fill out the form in as much detail as possible and attach any accompanying files. Once you submit these details they will be processed and securely delivered to the Serious Fraud Office.

Please complete all fields marked *

Please ensure that you refer to the '?' on certain fields for more guidance

Investor Details

* 1. Title (of investor)

* 1a. Please Specify

* 2. Surname (of investor)

* 3. Given Name(s) (of investor)

* 4. Full name in which investment was made (if not investor's own name, for example a company)

* 5. Home Address

5a. Property Name/Number

5b. Street Name

5c. City/State/Province

5d. County

5e. Post Code

5f. Country

Is the postal address the same as the home address?

* 6. Postal Address

6a. Property Name/Number

6b. Street Name

6c. City/State/Province

6d. County

6e. Post Code

6f. Country

* 7. Email Address

* 8. Home Telephone Number including country code

* 9. Mobile Telephone Number including country code

* 10. Preferred Contact Method

* 10a. Please specify

* 11. Date of Birth

* 12. Occupation

* 13. Are you making this report on behalf of someone else?

Yes

* 13a. Please provide more information

Agent/Promoter and Legal Representative Details

* 34. Who did you invest through?

Agent

Promoter

Independant Financial Advisor

* 35. Who did you contact about the investment scheme?

* 36. Who represented your legal interests during the contractual transaction?

* 37. How did you select this legal representative?

Completion and Returns

* 38. What was the longstop date for your development unit (the deadline for the completion of the development)?

* 39. Have you received any returns on your investment?

Yes

* 40. How much was received?

41. When was this received?

42. How did you receive this payment?

43. Please provide the name of the account holder, bank account institution, account number and sort code of the party that sent you the returns?

* 44. Are you expecting any further returns on your investment?

Yes

45. How much are you expecting?

45a. When are you expecting the returns?

Original Investment Funds

* 46. Has any of your original investment (the principal amount invested) been returned to you?

Yes

* 46a. On what basis were the funds returned to you?

* 47. How much has been returned?

* 48. Please provide the name of the account holder, bank account institution, account number and sort code of the party that sent you the funds?

Investment Source

* 49. What was the source of your investment funds?

Updates

* 50. Have you received any updates or progress reports on your investment?

Yes

* 51. What were the updates?

52. When and how were these updates provided, and by whom?

53. Have any further investment funds been requested from you?

Yes

53a. What reason has been given for the proposal of further funds?

Internal Complaints

54. Have you made any complaints to the companies and individuals involved in the investment scheme?

Yes

55. Please state whether you have received a response and briefly explain what was said?

* 56. Have any funds been returned to you following on from your complaint?

Yes

* 56a. How much?

Action

57. Have you made complaints to any external agencies regarding your investment?

Yes

58. Who was the complaint made to?

59. What was the result of the complaint, and is any action ongoing?

* 60. Have you received any compensation funds?

Yes

* 60a. Please state the amount in £ sterling and from whom.

Documents and Investment

Please retain all investment related literature you have in your possession and in the first instance please upload any documents you have evidencing your investment, for example contracts.

* 61. Do you have any other documents or notes relating to your investment?

Yes

* 62. Briefly describe what documents you have.

Further Comments

63. Would you describe yourself as an experienced investor?

Yes

64. Have you invested in similar types of property investment schemes in the UK in the past?

Yes

65. In this instance, if you have lost any money, what impact has this had on you?

66. Did you personally conduct any due diligence checks on the development scheme prior to investment?

Yes

Other

77. Have you already provided a formal witness statement regarding the investigation?

Yes

77a. To whom have you provided a formal witness statement?

78. Would you consent to the SFO accessing and obtaining your statement?

Yes

79. Do you consent to the SFO using your answers in this questionnaire during the course of our investigation?

Yes

Checklist

Please check that you have:

Included your contact details.

Completed all questions as fully as you can.

Uploaded any documents you have evidencing your investment, for example contracts.

Retained all other investment related literature you have in your possession.

Completed all of the Needs Assessment section.

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