Draw Request Form
Please allow 48-72 hours to process. For expedited approval please include photos and paid receipts for your project.
Your Name
*
First Name
Last Name
Property Address of Remodel
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Loan Number
Funds Requested Amount?
*
Bank Name
*
Name on the Account
*
Bank Routing Number
*
Bank Account Number
*
Work Completed
*
Description
Amount ($)
1
2
3
4
5
Please upload recent photos and paid receipts
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
TO THE BEST OF THE OWNERS KNOWLEDGE, INFORMATION AND BELIEF, THE OWNER CERTIFIES TO THE LENDER THAT (1) THE LABOR, SERVICES AND MATERIAL COVERED BY THIS PAYMENT REQUEST HAVE BEEN PERFORMED UPON OR FURNISHED TO THE PROJECT SITE; (2) ALL CONSTRUCTION TO DATE HAS BEEN PERFORMED IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND THERE HAVE BEEN NO CHANGES IN THOSE PLANS AND SPECIFICATIONS EXCEPT THOSE APPROVED BY THE OWNER IN WRITING; (3) THERE HAVE BEEN NO CHANGES IN THE SCOPE OR TIME OF PERFORMANCE OF THE WORK, NOR ANY EXTRA WORK, LABOR OR MATERIAL ORDERED OR CONTRACTED FOR, NOR ARE ANY SUCH CHANGES CONTEMPLATED EXCEPT AS MAY BE EXPRESSLY PERMITTED BY THE OWNER IN WRITING. OWNER REPRESENTS TO THE LENDER AND CONTRACTOR(S) CERTIFIES TO THE OWNER THAT ALL AMOUNTS PREVIOUSLY DISBURSED TO THE CONTRACTOR(S) FOR LABOR, SERVICES, AND MATERIALS FOR THE WORK HAVE BEEN PAID TO THE ENTITLED PARTIES THERETO; AND ALL CONDITIONS TO THE DISBURSEMENT OF THE FUNDS REQUESTED HAVE BEEN FULFILLED. LENDER RESERVES THE RIGHT TO REQUIRE RECEIPTS OR INVOICES RELATED TO THIS PAYMENT REQUEST. THE LENDER MAKES THIS DISBURSEMENT SOLELY UPON THE RELIANCE OF THE CERTIFICATION OF THE BORROWER.
Borrower Signature
Submit
Should be Empty: