Borrower Name
Co Borrower Name
Daytime Phone
Email Address
Address
Address
City, State, Zip
City, State Zip
Project Address
Contract Price of Home $
Loan Amount $
Lot Size
Lot Purchase Price $
Date of Lot Purchase
Lot's Current Value (if applicable) $
Balance Owed on Lot $
Sq ft of Home to be Built
Garage
Yes
No
Basement:
Yes
No
Construction Type
Stick Built
Modular
Log Home
Timber Built
Other
Property Type
Single Family Res
Two Family
Other
Cost to Build (materials & labor only) $
Cash invested to date in cost to build
$
Cash remaining to Invest in Property $
Source of Cash
Savings
Sale of Home
Gift
Other
Estimated Time to Build (months)
Building Permits Approved
Yes
No
Construction Started
Yes
No
If "Yes" Percent Completed %
Deposit Amount from Buyer to Date $
Total Savings 401k, IRA's, Stocks, Etc $
What is Borrower's credit score?
What is Co-Borrower's credit score?
Borrower Monthly Salary $
Do you receive a W2
Yes
No
Co-Borrower Monthly Salary $
Do you receive a W2
Yes
No
Subject Property Address
Buyer is approved for mortgage financing?
Yes
No
Does the Builder have good credit?
Yes
No
Don't Know
How many homes has the Builder built in the past three years?
Estimated Completed Value $
(for office use only LTV _________)
Comments