Builder/Retailer Construction Loan Questionnaire

BUSINESS INFORMATION

The below section is specifically referring to information related to the business.
Please enter the name EXACTLY as it appears with the state in which you are registered to do business and is reflected on your state license.
Please enter any and all of the names that the company is Doing Business As (DBA) referred to as a Fictitious Business Name registered with the city, county or state, IF APPLICABLE.
Please indicate the type of business that you are actively operating. NOTE: A Limited Liability Company (LLC) is considered a Partnership.
Please enter your 9-digit tax identification number, which is also referred to as a FEIN. If you are operating as a Sole Proprietorship, this may be your 9-digit social security number. NOTE: No dashes and numbers only.
Please indicate how many years this business has been actively operating.
Please provide the street address EXACTLY as it appears with the state in which you are registered to do business and is reflected on your state license.
Please include any suite or unit number that is part of your address, IF APPLICABLE.
NOTE: An example is 'Suite 200' or 'Unit 7'.
Please provide the city EXACTLY as it appears with the state in which you are registered to do business and is reflected on your state license.
Please provide the state EXACTLY as it appears with the state in which you are registered to do business and is reflected on your state license.
Please provide the zip code EXACTLY as it appears with the state in which you are registered to do business and is reflected on your state license.
Is the Business Address the same as the Mailing Address?
Please provide the best business phone number, which should be the number provided to the state in which you are registered to do business in.
Please provide the best fax number, which should be the number provided to the state in which you are registered to do business in, IF APPLICABLE.
Please provide the best business email address to send correspondences and notices, including the status of your PREFERRED PARTNER Approval.

MANAGEMENT INFORMATION

The below section is specifically referring to information related to managers and owners.
Please provide the FULL NAME of the manager that is responsible for the day-to-day operations of the business.
Please select the business title that best describes the Responsible Manager.
Please provide the FULL NAME of the owner, partner, or shareholder of the business.
Please select the business title that best describes the Business Owner.
Please provide the FULL NAME of any additional owner, partner, or shareholder of the business, IF APPLICABLE.
Please select the business title that best describes the Business Owner.
Please provide the FULL NAME of any additional owner, partner, or shareholder of the business, IF APPLICABLE.
Please select the business title that best describes the Business Owner.

CONSTRUCTION INFORMATION

The below section is specifically referring to information related to licensing and construction projects.
State License Type:
Please select the ACTIVE license that the business currently holds.
NOTE: You can select more than (1) license.
Construction Projects Completed (Last 2-Years):
Please select the approximate amount of construction projects sales revenue completed in the LAST 2-YEARS
Please select the approximate amount of construction projects completed (Last 2-Years):
Please select the approximate amount of construction projects completed in the LAST 2-YEARS.
Worker's Compensation Insurance:
Please select whether or not the business has an ACTIVE worker's compensation insurance policy.
General Liability Insurance:
Please select whether or not the business has an ACTIVE general liability insurance policy.

DECLARATIONS

The below section is specifically referring to information related to business operations.
VA Approved:
Please confirm whether or not you are a VA Approved builder.
FHA Financing:
Please confirm whether or not the business, a manager, or an owner has sold homes to borrowers using FHA financing.
Business License Standing:
Please confirm whether or not ALL of the business license(s) are currently in good standing with the state and/or any other regulatory agency.
Business License Revoked:
Please confirm whether or not ALL of the business license(s) are currently in good standing with the state and/or any other regulatory agency.
Business Disputes:
Please confirm whether or not the business, a manager, or an owner is currently involved in ANY disputes, judgments, liens, or surety claims.
Pending Litigation:
Please confirm whether or not the business, a manager, or a owner is currently involved in ANY current lawsuits and/or legal action.
Construction Projects Incomplete:
Please confirm whether or not the business, a manager, or a owner has EVER failed to complete a home placement or construction project. NOTE: This includes any related and previous businesses.

COMPLETED INFORMATION

The below section is specifically referring to information related to the individual who completed this Questionnaire.
Please provide the FULL NAME of the individual that completed the Questionnaire.
Please provide the best phone number of the individual that completed the Questionnaire.
Please provide the best email address of the individual that completed the Questionnaire.
Send me a copy of my responses: