For the quickest processing time, please submit this draw request to FSBBconstruction@ourbank.com along with support/invoices for
the requested expenses. Include a budget line description and/or item # from the original budget for each payee listed. In addition,
please ensure you have also included all lien waivers for expenses over $500 from the previous draw. Please allow at least 2-3
business days for your request to be processed.
CONSTRUCTION DRAW REQUEST FORM
Borrower: Date:
Contractor: Draw Request No.
Property Address:
Payee, Name of Sub-contractor
or materials dealer
Invoice
Provided
Budget Line Item
Description
Budget Line
Item # Amount
(Office
Use)
Lien
Waiver
$
$
$
$
$
$
$
$
$
$
I/We certify that there are no other bills outstanding on the construction at the above address and I/We will furnish Lien
Waivers for all items above $500.00 prior to, or with the next advance request. I/We hereby request disbursement of
construction funds for the purpose of paying the invoices received to date for work completed and materials delivered on the above
referenced construction address.
Requested By: ________________________________ Approved By: ______________________________
Contractor / Builder Borrower
Total for this advance
: $
