Please fill out the following information below in order to indicate your interest in investing in or loaning money to Mongoose Income Fund, LLC

The following disclosures are intended to make each of:

I. an investor who considers acquiring a limited liability membership interest in MIF ("an Investor") and/or
II. a lender who considers purchasing a 10% Yield Senior Secured Notes ("Notes") with monthly payments due December 31, 2013 of MIF ("a Lender")

aware of certain inherent risks. (For convenience, both an investor and a lender are sometimes referred to below collectively as a "Purchaser")

Below is a list of documents that may aid the Purchaser in understanding MIF's business and certain risks in MIF's business.
Fundamental is whether a prospective Purchaser is legally qualified to purchase.

Upon receipt of your information we will send you the necessary information to determine whether you are qualified to become a Purchaser.













Please put me on the MIF Monthly Mailing List:
I am Interested in MIF Membership (investing in MIF):
I am Interested in the MIF Note (loaning money to MIF):