SOF III - 1081 Southern Financial LLC Annex B to Investor Questionnaire Investor Questionnaire Annex B Signature Page The Investor consents to the provision of the verification documents referenced in this Annex B by the Investor's Placement Agent to Deutsche Bank Trust Company Americas. ENTITY INVESTOR SIGN HERE: INDIVIDUAL INVESTOR SIGN HERE: (Print Name of Entity) (Print Name) By: (Signature) (Signature) (Print Name and Title) (Date) (Date) Deutsche Bank Representative or other Witness signature (required): Country in which this Agreement was signed: B4 Confidential CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0109167 CONFIDENTIAL SDNY_GM_00255351 EFTA01452250