Appraisal and Project Questionnaire

Personal Information
Name*
Title First Last Suffix
Email*
Phone Number*
Best time to contact you?*
How did you hear about us?*
- Internet
- Referred by a person
- Referred by a company
Name of referring Company or Person if applicable
PROPERTY INFORMATION
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Existing Land
- Currently Own
- Rental
Existing Structure (Home etc)
- Currently Own
- Rental
Year Purchased
Type of Home
- Single Family
- Townhome
- Multi Unit
If Multi Unit, Number of Units?
Subject Property Square Footage
Additional Notes
FINANCIAL
GIVE US SOME INFORMATION ABOUT YOUR CURRENT PROPERTY
Current Property Value?
Cost per square foot?
Land or current first lien payoff amount?
Is the Land Currently Financed?*
- Yes
- No
If YES, Financed amount
Projected budget cost amount
Loan Amount Request
Any other green homes in surrounding area?
- Yes
- No
- I'm not sure
If known, How much are properties selling for per sq. ft.?
Additional Information
GREEN BUILDER
TELL US ABOUT YOUR GREEN BUILDER
Name, Address and Phone of Builder
Is the project being built by a qualified – certified builder-contractor?
- Yes
- No
- I'm not sure
Do you need a green builder referral?
- Yes
- No
- I'm not sure
Additional Information
PROJECT INFORMATION
GIVE US INFORMATION ABOUT THE PROJECT YOU WANT TO MOVE FORWARD WITH
Tell us about your project needs
Type of Property
- Purchase
- Refinance-Retrofit
- Ground up Construction
- Tear Down- Slab-Studs
Green Upgrade Type
- Light Energy Efficiency
- Deep Energy Efficiency
- Near-Net Zero
- Net-Zero (Excess power generation)
- New Construction (Is the land owned free and clear)
GREEN FEATURES
TELL US ABOUT THE GREEN FEATURES OF THE PROPERTY
Type of Label
- DOE Challenge Home
- Passive House
- Zero-net
- Energy Star
HERS Rating
Type of Renewable Upgrades
- Solar
- Geothermal
- Rainwater Harvesting
- Solar Hot Water
If Rainwater is checked, choose one
- Sole Source of Water
- with Well Water
- Connected to City Water
If Solar is checked Solar kW (size) and Manufacturer
RATING
Meets or Exceeds
- IECC 2015
- ICC 700 Code
ICC-700 National Green Building Standard Certified:
- Bronze
- Silver
- Gold
- Emerald
LEED
- Certified
- Silver
- Gold
- Platinum
ENERGY EFFICIENCY
Has an Energy Audit been performed?
- Yes
- No
Attach Energy Audit
Type of Green Upgrades (Check all that apply)
- Energy efficient-(HERS 70-50)
- Deep Retrofit (HERS 50-30)
- Zero-net (HERS 30 to minus 0)
Energy Rating Home Energy Score (HES)
Attach Home Energy Certification
HVAC
- High Efficiency HVAC
- Heat Pump
- Thermostat/Controllers
- Passive Solar
- Programmable Thermostat
- Geothermal
- Not Sure
Insulation
- Fiberglass Blown In
- Foam Insulation
- Cellulose
- Fiberglass Batt Insulation
- HERS Insulation Installed
HERS Insulation Installed Rating
- 1
- 2
- 3
Known Incentives
Federal
State
Local
Thank you for taking the time to fill out the form with Green Energy Money. Please add any additional information we may need to know to help you with your request. We will contact your shortly if we need additional information, and to learn more about your project!
www.greenenergy.money (877) GEM-3011
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Appraisal and Project Questionnaire

Appraisal and Project Questionnaire

Personal Information

PROPERTY INFORMATION

FINANCIAL

GREEN BUILDER

PROJECT INFORMATION

GREEN FEATURES

RATING

ENERGY EFFICIENCY

Known Incentives

www.greenenergy.money (877) GEM-3011