Normandy Consumer Borrower Builder Construction Only Loan Form

Pre-Qualification for a Self Build Construction Loan
(585) 256-2600 Phone - (585) 256-2836 -Fax
SUBMISSION OF THIS FORM IS FOR PRE-QUALIFICATION PURPOSES ONLY AND NOT INTENDED TO BE USED AS A LOAN APPLICATION

Please complete the following:

Borrower Name Co Borrower Name
Current Address Current Address
City, State, Zip City, State Zip
Daytime Phone Email Address
Loan Amount $ Lot Cost $
Lot Size Date of Purchase
Lot Current Value (if applicable) $
Balance Owed on Lot $
Sq ft of Home to be Built Garage Yes No Basement: Yes No
Cost to Build (materials & labor only) $
Estimated Time to Build (months)
Building Permits Approved Yes No Construction Started Yes No
If "Yes" Percent Completed %
Estimated Completed Value $ (For Office Use Only: LTV________)
Cash Available to Invest in Property $
Source of Cash
Total Savings 401k, IRA's, Stocks, Etc $
Is Your Credit Score (choose one)
If you know your credit score?
Borrower Monthly Salary $ Do you receive a W2 Yes No
Co-Borrower Monthly Salary $ Do you receive a W2 Yes No
Borrower Employer Co-Borrower Employer
Borrower Length of Employment (years)
Co Borrower Lenght of Employment (years)
Any Building Experience, if so describe:
Construction Type Stick Build Modular Long Home Timber Build Other
What work will be contracted out - i.e. Foundation, Framing, Electrical, Etc.
Fax to (585) 256-2836 or E-Mail to info@normandy.com

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