CONST RUCT ION CHANG E Order Request
Date of Request:
Borrower: Project Address: Loan Number: Relationship Manager:
REASON(S) FOR CHANGE:
The Borrower(s) and General Contractor hereby certify that the requested changes will not impact the project’s viability nor the ability to obtain a Certificate of Occupancy, if applicable. The requested changes will only result in transferring funds between line items. We understand that the overall loan amount is not increasing.
Borrower Signature:
General Contractor (if applicable):
Borrower Signature:
Relationship Manager:
UPDATED 7/2023
MEMBER FDIC
LINE-ITEM DESCRIPTION ORIGINAL PROPOSED BUDGET AMOUNT BUDGET AMOUNT $ $ $ $ $ $ $ $ $ $