Project Submission Form
We look forward to working with you on your next project. Before we get started, we need to get a bit more information on your upcoming project. Please fill out the following form to the best of your ability. Please let us know if you have any questions by emailing firstname.lastname@example.org or calling at 845.432.4674.
CBC License #
Borrower & Property Information
Borrowers First Name*
Borrowers Last Name*
Co-Borrowers First Name
Co-Borrowers Last Name
Property Zip Code*
Cost of Lot
Current Market Price
Are there any current lenders or lien holders on this property?
Primary Lender or Lien Holder
Building Permit Status:
Have you Started Construction?
Describe the improvements made to date:
Photos of improvements made to date:
Do you have building plans for this project?
Loan Amount Requested*
Total Hard Cost of Construction (not including land)?*
Market Value When Completed?
Has a Certified Appraisal Been Completed for This Project?
Any Additional Comments:
I/We certify that the information provided is true and correct and authorize Lender to verify information directly or through a credit agency.*