New Construction Quote Application

Pre-Qual Form

Owner First, M.I., Last Name:

Partner(s) ? (If none type "None")

Primary Address

City, State, Zip Code

Phone:

Email:

Birth Date

SS #

Business Legal Name:

What Type of Entity ?

Business Start Date:

Average Annual Revenue

Desired Funds Needed:

Purpose of Funds Needed:

When do you need the funding ?

Any bankruptcies ? When ?

If yes, Month/Year it was Discharged

Are you a Foreign National ?

Do you have a ITIN ?

Do you have a US Bank Account ?

Do you have a website ? If so, what is it ?

Estimated Net Worth

How much Cash Reserves & Credit ?

Estimated Credit Score ?

Additional Comments:

Property Street Address

Property Street Address 2

Property City, State & Zip Code

Is property currently under contract ?

Contract Purchase Price

Construction Budget

Total Loan Amount Requested

After Built Value

Targeted Close Date

Is Land Paid for already ?

Will Land be included in the Loan ?

Are utilities & roads complete ?

Is land ready for Vertical construction ?

Are permits signed & issued ?

Are Plans & Engineering completed ?

Insurance Company Contact Name

Insurance Contact Phone Number

Insurance Contact Email

Title Company Contact name

Title Company Contact Phone Number

Title Company Contact Email

Additional Comments

# New Construction in last 36 months ?

# New Construction projects completed

If < 3, will Builder partner with you ?

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New Construction Quote Application

Pre-Qual Form

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