Unknown form (insufficient content provided) Instructions

Provide the typical sales price range for the homes built in the last 12 months (for example "$150,000 - $250,000" or similar descriptor).

Enter the total number of homes you or your company completed in the past 12 months as a numeric count (e.g., 0, 1, 12).

List the cities, neighborhoods, or geographic areas where the homes were built during the last 12 months.

Enter the typical sale price range for homes built in the last three years (use numeric values, include thousands/decimals as needed).

Enter the total number of homes your company built during the last three years.

List the cities, neighborhoods, or regions where homes were built in the last three years.

Enter the name of the warranty company that provides coverage for the building.

Enter the policy or certificate number assigned by the warranty company for this building.

Enter the legal name of the company or business entity.

Enter the company's primary business mailing street address, including suite or unit if applicable.

Enter the company's professional or business license number issued by the relevant licensing authority.

Enter the company's main business telephone number for contact.

Enter the company's federal Tax Identification Number (EIN) or other tax identification number assigned to the business.

Enter a mobile or cell phone number for a company contact person.

Enter the primary business email address to be used for communications about this application.

Enter the complete legal name of Company Owner 1 (first, middle if applicable, and last).

Enter the primary street address for Company Owner 1, including number, street, unit/suite (if any), city, state and ZIP as a single text string.

Enter the full legal name of the second company owner as you want it to appear on official records.

Enter the complete mailing or residential address for the second company owner, including street, city, state, and ZIP code.

Check this box if the company is a sole proprietorship (choose only one company type).

Check this box if the company is a partnership (choose only one company type).

Check this box if the company is organized as an S-Corporation (S-Corp) (choose only one company type).

Check this box if the company is organized as a C-Corporation (C-Corp) (choose only one company type).

Check this box if the company is a limited liability company (LLC) (choose only one company type).

Enter the legal or commonly used name of the fifth supplier/vendor you are listing for trade credit.

Enter the type or category of the fifth supplier (for example: lumber, concrete, electrical, rental) to describe the supplier's business.

Provide the required email address or fax number for the fifth supplier's contact for verification or correspondence.

Provide the primary phone number (including area code) for the fifth supplier's contact for verification.

Enter the full name of the primary contact person at the fifth supplier who can verify the account.

Check this box if the corporation, its stockholders, partners and/or officers are a defendant in any suits or legal action.

Check this box if the corporation, its stockholders, partners and/or officers are not a defendant in any suits or legal action.

If any corporation, stockholders, partners or officers are defendants in suits or legal actions, provide a clear explanation including parties involved, nature of the claim, court or jurisdiction, dates, current status or disposition, and any amounts claimed or outstanding. Fill only if 'Financial Question 1 - Suits/Legal Action: Yes' is 'Yes'.

Check this box if the corporation, partnership, owners and/or officers have ever filed bankruptcy.

Check this box if the corporation, partnership, owners and/or officers have never filed bankruptcy.

Provide a concise explanation of any bankruptcies filed by the corporation, partnership, owners, or officers (include names, relationship to the company, filing dates, court/case numbers, and the current status or disposition). Fill only if 'Financial Question 2 (Bankruptcy) - Yes' is 'Yes'.

Check this box if the corporation, partnership, owners and/or officers have never had property foreclosed on and have never given a deed in lieu of foreclosure.

Check this box if the corporation, partnership, owners and/or officers have ever had property foreclosed on or have given a deed in lieu of foreclosure.

Provide a clear explanation of the property foreclosure or deed in lieu event(s) including property address, date(s), parties involved, outcome and any supporting documentation or reference numbers. Fill only if '3. Yes - Has had property foreclosed or given deed in lieu' is 'Yes'.

Check this box if the corporation, partnership, owners and/or officers have previously had a loan with Ameris Bank.

Check this box if the corporation, partnership, owners and/or officers have never had a loan with Ameris Bank.

If the corporation, partnership, owners or officers have ever had a loan with Ameris Bank, provide a clear explanation including relevant details such as loan account number(s), dates, loan amount(s), current status, and any other pertinent information or documentation. Fill only if 'Financial Question 4 - Yes (Has had a loan with Ameris Bank)' is 'Yes'.

Provide the date when the first applicant signed this authorization.

Enter the first applicant's handwritten or typed signature to authorize the Builder Application Credit Authorization.

Enter the supplier's primary phone number for account verification and contact; this field is required.

Enter the full legal name of the supplier or company for the first builder trade account.

Enter the category or type of supplier (for example: lumber, concrete, electrical, hardware, etc.).

Enter the name of the primary contact person at this supplier who handles accounts or credit inquiries.

Enter the supplier's email address or fax number to be used for account correspondence; this field is required.

Enter the date when the fourth applicant signed the form.

Enter the handwritten name or electronic signature of the fourth applicant (owner/partner) to acknowledge and authorize the application.

Enter the supplier's business name for the fourth builder supplier trade account (row 4).

Enter the supplier type or category (for example: lumber, hardware, rental) for the fourth supplier trade account (row 4).

Enter the primary contact person's full name at the fourth supplier listed (row 4).

Enter the contact's email address or fax number for the fourth supplier trade account (row 4).

Enter the contact phone number for the fourth supplier trade account (row 4).

Enter the date this fifth project was completed.

Enter the final sale price for this fifth project.

Enter the full property address for this fifth project, including street, city, state and ZIP as applicable.

Enter the completion date of the first most-recent project.

Enter the final sales price of the first project as a numeric value.

Enter the full street address (including city and state) of the first project property.

Enter the completion date for the fourth most recent project.

Enter the final sales price achieved for the fourth most recent project.

Enter the full street address (including city and state) of the property for the fourth most recent project.

Enter the completion date for the second most recent project.

Enter the final sales price received for the second project.

Enter the full street address of the property for the second project, including city and state as needed.

Enter the completion date for the sixth most recent project.

Enter the final sales price for the sixth most recent project.

Enter the full street address (including city/state/zip as needed) of the property for the sixth most recent project.

Enter the completion date for the third most recent project.

Enter the final sales price received for the third most recent project.

Enter the full street address (including city and state) of the property for the third most recent project.

Enter the date on which the second applicant signed this form.

Enter the second applicant's signature (their full legal name as they sign this document).

Enter the full legal or trade name of the second supplier for the builder trade account (Row 2).

Specify the supplier type or category for the second supplier (for example: materials, equipment rental, cabinetry, etc.).

Provide the full name of the primary contact person at the second supplier (Row 2).

Enter the contact email address for the second supplier or a fax number if email is not available.

Provide the primary phone number for the second supplier contact, including area code and any required country or extension information.

Enter the date on which the third applicant signed this form.

Enter the third applicant's full handwritten signature or typed name as the Owner/Partner to certify the application.

Enter the full business name of the third supplier/vendor with whom you have a trade account.

Enter the primary phone number for the third supplier's contact, including area code and extension if applicable.

Enter the supplier's type or category (brief description of goods or services provided, e.g., lumber, electrical, rental).

Provide the primary contact person's full name at the third supplier (account representative or sales contact).

Provide the business email address or fax number for the third supplier's contact.

Enter the full name of the lending institution for the first row (e.g., bank or mortgage company).

Enter the name of the loan officer or contact person at the lending institution for the first row.

Enter the telephone number for the loan officer or lending institution contact shown in the first row.

Enter the name of the lending institution or bank for the second (Row 2) reference.

Enter the full name of the loan officer or contact person at the lending institution for Row 2.

Enter the telephone number for the loan officer or lending institution listed in Row 2.

Enter the full name of the lending institution for the third row (e.g., bank or credit union name).

Enter the name of the loan officer or contact person at the lending institution for the third row.

Enter the telephone number for the loan officer or lending institution contact shown in the third row.

Enter the name of the lending institution for the fourth (top) row credit reference.

Enter the full name of the loan officer or contact at the lending institution for the fourth row.

Enter the telephone number for the loan officer or lending institution listed in the fourth row.

Enter the full name of the principal or corporate officer for the first row.

Enter the percentage of stock owned by this principal for the first row (you may include a percent sign or decimals if needed).

Enter the corporate title or position of the principal/officer listed in the first row (for example, President or CFO).

Enter the business mailing address and telephone number for the principal/officer shown in the first row (street, city, state, ZIP and phone).

Enter the full name of the principal or officer for this entry.

Enter the percentage of company stock owned by this principal or officer.

Enter the job title or position held by this principal or officer (for example, President or CFO).

Enter the principal's full mailing address and a phone number where they can be reached.

Enter 'Yes' if this person is authorized to sign on behalf of the company, or leave blank/describe otherwise.

Enter the full name of the principal or officer for the second row entry.

Enter the percentage of company stock owned by this principal for the second row.

Enter the job title or official position of the principal for the second row.

Enter the principal's mailing address and phone number for the second row (street, city, state, ZIP and phone).

Indicate whether this principal is authorized to sign on behalf of the company (e.g., enter 'Yes' or leave blank).

Enter the full name of the principal or officer for this row.

Enter the percentage of company stock owned by this principal or officer.

Enter the corporate title or job position held by this principal or officer.

Enter the principal or officer's mailing address and a contact phone number for this entry.

Indicate whether this person is authorized to sign on behalf of the company (for example, enter Yes or No).