Medici Financial, Inc.

Request for Property Inspection of Current Loan

Do not put partially completed items on this list. We only pay on completed items. Draws will not be released if payments are not current.

Borrower name:
Email address:

Borrower Phone:

Borrower Cell:

What draw # is this?

***** A $100 draw fee will be collect at loan payoff for draw inspection.*****

Are all your properties current with monthly payments? If we have not received all payments to make all your properties with us current we will not be able to release your draw request.

Address to inspect:

City:

County:

Map:

How can we access the property?

What date would you like the property inspected?
(Note: Inspections must be on a WEDNESDAY or THURSDAY. See Draw Procedure.)

What repairs have been completed since the last inspection?
	$
	$
	$
	$
	$
	$
	$
	$
	$
	$
Total:	$


What date do you predict completion of rehab?

Send funds how?

Additional Comments:

By submitting this form, the borrower hereby certifies and warrants to MEDICI FINANCIAL INCORPORATED® that the above improvements have been completed in a good and workmanlike manner and that all contractors, subcontractors, material men, and laborers have been paid in full for the work described above as well as any prior work performed with respect to the above property.

Print this page before you hit "submit" and keep for your file.