Personal Information

Contact Person:

Borrower/Applicant  Broker  Other:
*

Email:

Phone:

Fax:

Project:
(For easy identification please insert a title for your project.  Example: "Sunset Apartments" or "Rainbow Motel".)

Project Information

Property Address:

2nd line of address:

City:

State:

Type of Property

Number of Buildings:

Number of Units:

Number of Floors:

Land Area:

Building Area:
(Gross)

Building Area:
(Net)

Number of Parking Spaces:

Construction Costs

Hard and Soft Costs:
(excluding land)

Value of Land:

Date Land was Purchased:

Amount Paid:

Purchase Price of Land:
(if loan includes land purchase)

Prepaid Construction Costs

Land:

Demolition:

Plans:

Engineering:

Permits:

Grading:

Other:

Requested Amount of Construction Loan:

Borrower Information

Type of Entity:

Net Worth:

Name of Borrower 1:

Name of Borrower 2:

Name of Borrower 3:

Name of Borrower 4:

Phone:

Fax:

Email: