Site Application

Site Application

Submit Date

MM slash DD slash YYYY

Project Description

Local Operating Company:(Required)

NJCTPHWSPILI

PROJECT DETAILS

Site Number

Project Name:(Required)

Street Address:(Required)

City:(Required)

County:(Required)

State:(Required)

Zip Code:(Required)

OFFICE INFORMATION

Site Manager:(Required)

Originating Office:(Required)

Office Phone:(Required)

Regional VP:(Required)

CBRNH Acct Advisor:(Required)

BUILDER INFORMATION

Procuring Cause:(Required)

AgentCB New HomesOther

Builder Type:(Required)

NewRepeat

Company Name:(Required)

Builder Contact First Name:(Required)

Builder Contact Last Name:(Required)

Street Address:(Required)

City:(Required)

State:(Required)

Zip Code:(Required)

Builder Contact Phone:(Required)

Builder Contact Email:(Required)

SITE INFORMATION

Market Rate Units:(Required)

Age Restricted:(Required)

YesNo

Sale Type:(Required)

For SaleFor Rent

Product Type:(Required)

Single FamilyTownhomeCondoApartments

Broker Outreach:(Required)

YesNo

Start Price:(Required)

Average Price:(Required)

AGREEMENT

Agreement Date:(Required)

MM slash DD slash YYYY

Expiration Date:(Required)

MM slash DD slash YYYY

Listing Commission:(Required)

Co-Broke Listing Commission:(Required)

Selling Commission:(Required)

Total Commission:(Required)

NEW HOMES COMMITMENT:

CBNH Budget:(Required)

Marketing Breakdown:(Required)

APPROVALS

CBRNH Acct Advisor:(Required)

CBRNH Vice President:

CBNH Office VP Signed Date

MM slash DD slash YYYY