Contact Information

Contact

Phone

Fax

E-Mail

Land Information

Date Acquired

(i.e. 1/1/2000)

Purchase Price

$

Current Status

[ - Select One - ] Vacant To be demolished

Lien Status

[ - Select One - ] Free and Clear Existing Mortgage

Balance of Loan, if applicable

$

Project Information

Owner Occupied

[ - Select One - ] Yes No

General Contractor

[ - Select One - ] Yes No

Owner Builder

[ - Select One - ] Yes No

Plans & Specifications Completed

[ - Select One - ] Yes No

Plans & Specifications Approved

[ - Select One - ] Yes No

Grading/Building Permit

[ - Select One - ] Yes No In Process

Anticipated Date to Start Construction

(i.e. 1/1/2000)

Anticipated Date of Completion

(i.e.1/1/2000)

Project Cost Information

Estimated Construction Costs:

$

Plans, Permits & Fees

$

       In Process?

[ - Select One - ] Yes No

Dollar Amount Paid Toward Indirect Expense

$

(excluding land and down payment)

Estimated Value Upon Completion

$