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Purchaser/Developer Application
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Your name
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Address
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Company
Street address
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Zip code
Address of Property Interested in
Country
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United States
Street address
Street address line 2
City
State
- Select -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (AA)
Armed Forces (AE)
Armed Forces (AP)
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Micronesia
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip code
Realtor Name/Agency (if engaged)
Realtor Contact info
Project Description
What are your plans for renovation/rehab/occupancy?
About You
Tell us a little about yourself and your experience with this type of project.
End Use Ownership
Rental/Re-Sale/Owner Occupied, etc.
Proposed Construction
Purchase Offer
Preliminary Renovation Budget
Please use the attachments field below to attach detail; a break down by construction materials or project area would be best.
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Proposed Timeline
Can you complete the project in 12 months from your start date?
No
Yes
If not, when is your targeted End Date?
Date
Terms of form
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I agree
PLEASE REVIEW OUR
PERFORMANCE BOND
BEFORE ACCEPTING. I hereby submit this proposal for consideration, and acknowledge the Land Bank’s right of acceptance, negotiation or rejection of it, based on their stated policies, mission and/or objectives. I certify that I have read and understand all of the Chautauqua County Land Bank’s Sales guidelines, including the Acquisition/Disposition policies and Developer Selection Criteria, and my questions were sufficiently answered by a Land Bank representative.
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