Rehab Draw Request

Contact Information

Name(Required)

First Last

Date

Email(Required)

Phone

Rehab Draw Information

Property Address(Required)

Street Address City State ZIP Code

NOTE: Do not put your home address.
Please put the address of the property for which you are requesting an escrow draw.

Repair Escrow Amount Requested(Required)

Payment Method(Required)

Wire

Receiving Bank Name(Required)

Receiving Bank Address(Required)

Receiving ABA WIRE Routing Number(Required)

Beneficiary Account Name(Required)

Beneficiary Account Number(Required)

Beneficiary Mailing Address(Required)

Explanation of Completed Work(Required)

File Upload

NOTE: If you are experiencing issues with the upload fields, you need to clear your browser cache and history. Follow this link for more information on how to perform this action. You will need to save your application at the bottom of this form, and continue after your browser has been refreshed.

Pictures

Drop files here or

Accepted file types: jpg, jpeg, gif, png, bmp, tiff, Max. file size: 100 MB, Max. files: 50.

Please upload the following documents:
Pictures of the Repairs to the Property (Inside/Outside). DO NOT ATTACH RECEIPTS.