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| *First Name: |
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| *Last Name: |
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| *Street Address: |
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| Address Line 2: |
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| *City: |
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| *State: |
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| *Zip: |
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| *Phone: |
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| Best time to call: |
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| *Email: |
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| Location of property |
| City: |
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| State: |
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What is the size
of your property? |
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| Where are you in the construction process? |
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| If other, please explain: |
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Estimated time
to permits: |
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| If other, please explain: |
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| Type of home: |
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| If other, please explain: |
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| What is the estimated value of your land? |
$ |
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| How much do you owe on your land? |
$ |
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| Total Cost to build not including land or financing costs: |
$ |
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| Do you plan to hire a contractor or will you do the build yourself? |
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| If Owner-builder: Are you a licensed general contractor? |
Yes
No |
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| Combined annual income:
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| (Should include both the borrower and
co-borrower's annual income before taxes) |
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| Are you self-employed? |
Yes
No |
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Combined
Liquid Assets: |
$ |
| (Enter estimated total of all balances currently held in checking, savings or credit union accounts, stocks & bonds, retirement, pension, annuity accounts, etc.) |
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Combined
monthly payments: |
$ |
| (This should be a total of all monthly payment obligations including mortgage or rent, car loans, student loans, credit cards debt, installment debt, child support, alimony, etc.) |
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| Do you own any other real estate? |
Yes
No |
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| By pressing submit, you are giving us permission to contact you about your request. |
