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ESTATE DEVELOPER LOAN INTAKE FORM
Kindly fill out your correct information to submit your application.
ESTATE DEVELOPER LOAN INTAKE FORM
Full Name
*
Last Name
*
Email Address
*
Phone Number
*
Date of Birth
*
Gender
*
Male
Female
Residential Address
*
Marital Status
*
Single
Married
Divorced
Widowed
Number of Dependents
COMPANY INFORMTION
Developer/Company Name
*
Contact Person Name / Position
Office Address
*
Phone Number
*
RC Number (CAC Registration)
*
Email Address
*
Tax Identification Number (TIN):
*
Employment Start Date
Monthly Income (Net) (₦)
*
Other Income Sources (if any)
Years of Real Estate Development Operation
*
How many estates have you developed
*
How many units of housing have your previously executed?
*
Location or Address of these past estates projects
*
Give details of the years of these past estate projects
*
Give current status of these past development projects: Execution status
*
Complete
Incomplete
BANKING INFORMATION
Current Bank Name
*
Account Name
*
BVN
Account Number
*
Account Type
*
Savings
Current
Corporate
Bank Branch Address
Any current Risk Exposure?
*
Yes
No
Outstanding Risk Current Value (₦)
*
PROJECT INFORMATION
Project Name
Project Location
Type of Development
*
Land
Residential
Commercial
Number of Units
*
Type of Units (e.g., 2-bed flats, 4-bed duplex
*
Estimated Project Cost (₦)
*
Amount of Loan Required (₦)
*
Loan Tenor (Years)
*
Equity Contribution (Cash) (₦)
*
Proposed Selling Price per Unit (₦)
*
Project Timeline (Start & Completion)
Project Exist/ How many Off-takers
Offtakers commitment (₦)
*
Project Guarantee (If any )
*
Yes
No
How much is the Guarantee backing (₦)
*
PROJECT DOCUMENTS REQUIRED
Project Documents Required
*
(C of O)
Building Appr
Title Documents Deed of Assignment / Gazette
(R of O)
Survey Plan
Approved Building Plan
Bill of Quantities (BOQ)
Feasibility/Business Plan
Feasibility/Business Plan
Tax Clearance Certificate
Previous Project Portfolio (if any)
We hereby confirm that the information provided above is true and correct to the best of my knowledge. By submitting this form, I accept the terms and conditions.
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