Construction Loan Questionnaire

Are you applying as an individual or with a co-applicant? Individual Co-Applicant

Applicant

First Name Middle Initial Last Name Suffix Social Security Number Birth Date Mother's Maiden Name Mailing Address City State Zip Code Daytime Phone Number Home Phone Number E-mail Address Please do NOT email me important news and updates.

How would you prefer to be contacted? Home Phone Work Phone Email Other

Other Preference

Co-Applicant

How would you prefer to be contacted? Home Phone Work Phone Email Other

Other Preference

Project Information

Project Location/Address City State Zip Code Lot Size Building Square Footage Zoning

Do you own the lot? If yes, please provide a copy of the closing statement. Yes No

Is the lot in escrow? If yes, please provide a copy of the escrow instructions. Yes No

Are there utilities on site? Yes No

Comments

Is there a water meter on site? Yes No

Comments

Is this a hillside location? Yes No

Comments

Do you have a soil & geo report? If yes, please provide a copy. Yes No

Are the building plans completed? If yes, please provide a copy. Yes No

Were the plans purchased with property? If yes, please provide a copy. Yes No

Do you have an architect contract? If yes, please provide a copy. Yes No

Are all of the permits obtained? If yes, please provide a copy. Yes No

Are you acting as owner builder? Yes No

Comments

Land Purchases

Are you purchasing the land? Yes No

Purchase Date Purchase Price Down Payment Bank Funds Requested Existing Balance

Contractor Information

Are you using a general contractor? Yes No

Comments

Is the building contract signed? If yes, please provide a signed copy. Yes No

General Contractor Name Address City State Zip Code Office Phone Number Cell Phone Number Contractor's License Number

Endorsement

I certify that all information provided by me herein, including attachments (s) is true, correct and complete. I authorize Bank Name to make whatever inquiries about me you deem necessary and appropriate for the purpose of evaluating my credit, including obtaining credit reports and contacting my employer. I also authorize Bank Name to provide credit information about its credit experience with me to other creditors and credit reporting agencies. I authorize the Bank to obtain address information from the Department of Motor Vehicles and waive the address confidentiality requirements of the State Vehicle Code. I agree to provide any further information the Bank might require to process my application.

Applicant's Signature Date

Co-Applicant's Signature Date