Date of Request
*
Property Address
*
Your Name
*
Borrowing Entity Name
Borrower Phone Number
*
Borrrower Email
*
Draw #
Lockbox combo (must have lockbox on property)
*
Description of work completed
1: Line Item Description
1: $ Amount
2: Line Item Description
2: $ Amount
3: Line Item Description
3: $ Amount
4: Line Item Description
4: $ Amount
5: Line Item Description
5: $ Amount
6: Line Item Description
6: $ Amount
7: Line Item Description
7: $ Amount
8: Line Item Description
8: $ Amount
9: Line Item Description
9: $ Amount
10: Line Item Description
10: $ Amount
Total Draw Amount
Total Percentage of Work Left Until Completion?
*
Wire Instructions
Type wire instructions here or upload below
Upload Wire Instructions