Draw Request

For borrowers to request rehab draws

Date*
MM slash DD slash YYYY
Subject Property Address*
Street Address City State / Province / Region ZIP / Postal Code
Borrower Name*
First Last
Phone*
Email*
Contractor Name*
First Last
Contractor Phone*
Contractor Email*
Lock Box Code*
Draw Number*
Amount Of Draw Requested*
This Draw Is For The Following Items That Have Been Completed, Inspected And Passed (if applicable)*
Percentage Of Rehab Complete*
Amount Already Received*
Balance Remaining
Expected Date Of Completion*
MM slash DD slash YYYY
Did This Draw Require Any Building Official Inspection*
If So Has It Been Inspected And Passed?*
Are There Any Outstanding Code Violations?*
If So Have They Been Inspected And Approved*
How Would You Like Funds Dispersed*
Attach Lien Waiver From Contractor If Applicable
Drop files here or

Max. file size: 8 MB.
By Typing My Name Below I Acknowledge I Will Be Charged $200 Inspection Fee For Each Inspection and/or Reinspection
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