Draw Request Form | Private Lending Group

Date*

Date Format: MM slash DD slash YYYY

Borrower Name*

Use entity name if applicable

Borrower Phone*

Borrower Email*

Project Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Amount of Request*

Please refer to original budget

Click the items that are completed and ready for inspection*

Other

Special Instructions, Requests or Comments, Regarding Draw

By entering your name below you agree to the Terms of the Draw Request below.*

Terms of the Draw Request are as follows: Borrower represents and warrants the following; no event of default exists, as defined in the loan agreement; Borrower knows of no circumstance which will or could prejudice repayment of the Loan; each representation and warranty of the loan agreement and construction loan agreement remains true and correct; this draw request and advance has been authorized by the Borrower; Lender is authorized and directed to conduct the inspection and disburse funds as Lender sees fit in its sole discretion; Borrower is responsible for the cost of the inspection.

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