CONSTRUCTION
CHANGE Order Request Date of Request: Borrower: Project Address: Loan Number: Relationship Manager:
LINE-ITEM DESCRIPTION
ORIGINAL BUDGET AMOUNT
PROPOSED BUDGET AMOUNT
$
$
$
$
$
$
$
$
$
$
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:
Borrower Signature:
General Contractor (if applicable):
Relationship Manager:
UPDATED 1/2024
MEMBER FDIC