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Construction Loan Request

* Denotes Required
Prefix:    
*First Name:    
Middle Initial:    
Last Name:    
Suffix: I am:

Company Name:    
Mailing Address: Additional Address:
City: State:
Zip Code:
*Phone Number: Fax Number:
Evening Telephone: Cell Phone Number:
*Email Address:    

Type of Entity: (LLC, S-Corp, C-Corp, Sole Proprietor, Corporation, Non-Profit....)
Annual Income of Company: Credit Score (if known):
Borrower Net Worth: Amount of the Loan Request:
Completed Property Value of the Project: Property Type:
Property Location: Land Purchase Price:
Land Purchased Date: Land Purchase Amount:
Original Cash Down Payment on Land: Balance Owed on Land:
Value of Land Today:    
Cost Breakdown:      
Hard Cost: Soft Cost:
Contingency:    
Description of Borrower Cash Equity in Land:
Special Issues, Problems or Needs:
Current Pre-Sales:

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