Construction Loan Intake Form

National Private Lending
1. Project Name*
2. Project Address*
3. Loan Amount Requested*
4. Closing Date

MonthDayYear
Date
5. Purchase or Refinance?*
6. Total Loan Term (Months)*
7. Property Purchase Date?

MonthDayYear
Date
8. Loan Program Requested (Development & Vertical Construction, Vertical Construction Only, New Construction, Addition Etc.)*
9. Purchase Price or Original Purchase Price?*
10. Pay Off Amount? (If a Refi)*
11. Is there seller subordinate financing?
12. If so, how much?
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Project Information (Continued)
13. Preferred Payment: Set up interest reserve account or make monthly interest payments?*
14. What is currently on the property? (Vacant Land, Finished Lots, Teardown, etc.)*
15. What is the Estimated As Is Value of the property?*
16. What are your costs paid to date?

MonthDayYear
Date
17. Details of cost spent*
18. Finished Project Type (Townhome Build, SFR Build, Apartments/Condos, Mixed Use, etc.)*
19. How many parcels is the property currently?*
20. How many proposed lots?*
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Project Information (Continued)
21. Plat Status (Preliminary Plat Approved, Development Started, Submitted For Prelim, Final Plat Approved, etc.)*
22. Total Soft Costs Do Not include any estimated financing costs (Soft Costs = permits, engineers, etc.)*
23. Total (Horizontal) Development Budget Hard Cost (Do Not Include soft costs)*
24. Total Est. Completed Lot Value (Per Lot)*
Final Engineered PlansVerification of Plat StatusSurvey/TopographyMapGeotech ReportPhase 1Phase 2Verification of Water Availability CertificateAs Is AppraisalFuture Value AppraisalDevelopment ContractDevelopment Budget
26. How many phases for the total project?*
27. How many phases for this loan request?*
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28. Permit Status (Applied, Issued, Ready To Issue, etc.)*
29. Total Number of Units Being Built*
30. Total Vertical Construction Budget (Do Not include any Financing Fees)*
31. Total Estimated Finished Value of the Units*
32. Build Time Per Unit (Months)*
Put 0 if not applicable
33. Sales Time Per Unit (Months)*
Put 0 if not applicable
34. How many units are being started at one time?*
35. How long between starts? (30 Days, 45 Days, etc.)*
36. What is the project's exit strategy?*
37. Additional Project Details?
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38. Borrowing Entity Name*
Email*
Please enter your email to receive a quote
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
39. 1st Guarantor Full Name*
40. What is the guarantor's credit score?*
41. Estimated Net Worth*
42. 2nd Guarantor Full Name
43. What is the 2nd guarantor's credit score?
44. Estimated Net Worth
45. How many years has the borrower been in the industry?*
46. How many units has the borrower completed in the last 18 months?*
Properties Purchased, built, renovated, rentals, commercial and residential, etc.
47. Is the borrower self performing the work?*
48. Additional Experience Details*
Broker Information
Email
Please enter your email address to receive the quote
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
49. Broker Company Name
50. Broker Fee
PLEASE PROVIDE THE FOLLOWING DOCUMENTS
1. BUDGET / SCOPE OF WORK
2. DRAW SCHEDULE
3. ARCHITECT PLANS
4. PROFORMA (BUILD TO RENT OR BUILD TO SALE)
5. AS IS AND ARV COMPS
6. SPONSOR PFS (Personal Financial Statements)
7. TRACK RECORD
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