General Builder Information

Type Of Business

Second Company Principal/Director (if applicable)

Other Company Principal/Director (if applicable)

Please identify three of your suppliers / sub-trades:

Supplier 1 Information

Supplier 2 Information

Supplier 3 Information

Please identify three: Customers of new homes or Significant renovations:

First Customer

Second Customer

Third Customer

Experience

Please provide a brief resume indicating your construction experience, any related education (Licensed carpenter, Engineer...) as well as, your future objectives in building.

By submitting this form by way of e-mail, fax or mail I authorize Lux Residential Warranty Program Inc to obtain such factual and investigative information regarding me from others as permitted by law and to furbish other credit grantors and any credit bureau, particulars of this credit application. In addition, I hereby acknowledge notice from Lux Residential Warranty Program Inc. that a consumer report containing credit information may or will be referred to in connection with this application for credit or any renewal or extensions thereof.

Net Worth Sheet

Assets

Liabilities

BUILDER AGREEMENT

You must download, print, fill out, scan, and email the builder agreement to info@luxwarranty.com before we can process your application.