Rehab Draw Request

Contact Information

Borrower Name:(Required)

First Last

Authorized Person to request extension on behalf of the Borower:

Name(Required)

First Last

Date

Email(Required)

Phone

Rehab Draw Information

Property Address(Required)

Street Address City State ZIP Code

NOTE: This section is for the property address of the loan. Please enter the complete property address of 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

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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 and Improvements to the Property (Interior/Exterior). DO NOT ATTACH RECEIPTS.

Submit

I certify that I am an authorized person and/or member of the Borrower on the loan account for the property referenced herein and I certify that the wire instructions and bank information that I have provided is an account benefiting the Borrower.