Subdivision Bond Questionnaire -Form

Company Name:

Street Address:

3.	Phone:	*
3.	Fax:

Contact Person:

5.	Date of Incorporation:
5.	State of Incorporation:

6.	Affiliates:
	*

7.	Owners/Stockholders: Title %Owned Spouse
	*

8.	Is there a Buy-Sell Agreement or other continuity plan in place?:	* Yes No
	If Yes, please submit a copy

Is Personal Indemnity of Above Owners and Spouses Available:

* Yes No

10.	References: Address and Phone
	*

11.	Bank(s)/Contact: Credit Line and Phone

12.	Currently Use For Improvement Guarantees:	* Bonds Letters of Credit
a.	If Bonds, Name of Current Bonding Company:
b.	Current Rate:
c.	Current Outstanding Bonds/Letters of Credit:
	Bank/Bonding Company Amounts Outstanding:

13.	Average Number of Homes Built/Year:	*
	Single Family Multi-Family Both

14.	Areas of Operation:
	*

15.	Largest projects completed: Project/Bond Amount/when completed:
	*

16.	Anticipated Bond Needs For Upcoming Year:
	Single:
	Aggregate:

Additional Information Needed:

1. Last 2 year-end Financial Statements of Company

2. Financial Statement of Owner(s)

3. Management Resumes

4. Corporate Brochures

5. Current Certificate of Insurance

601 Oakmont Lane, Suite 400 • Westmont, IL 60559 • Phone 630.468.5600 • Toll Free 888.236.9514 • Fax 630.468.5697