Ground-Up Loan Form - AFD Lending Source, Inc.

*Borrowers First Name

Borrowers Last Name

*Phone Number

*Email

Is borrower a U.S. citizen?

Yes

*Are the Buyer and seller related by blood or marriage on this transaction? If yes, please explain.

Yes

*Has the borrower(s) ever been convicted of a felony?

Yes

Company name the borrower(s) is closing in (must close in a corporate entity):

What name is the property currently titled in (company or personal name), if applicable?

*Who makes up the entity and what are their percentages of ownership?

*Address of Property (if just a plot, please list city and state)

*Address 2 of Property (if just a plot, please list city and state)

City

State

Zip

*Exact property type that will be built (Ex: SFR, 2-unit, 7-unit):

*Will the property being built be considered a mobile or manufactured home in any way?

Yes

*Will this property be zoned commercial or residential?

Commercial

Residential

*What will the square footage of the property being built be?

*How many acres make up this land?

Purchase Price of land (if applicable) PLEASE ONLY FILL THIS IN IF THIS IS A PURCHASE TRANSACTION)

*Is the borrower already in a purchase and sales contract?

yes

What is special about your deal?

When does the borrower need to close?

If you already own the land what is it currently worth?

If you already own the land when did you purchase it and for how much?