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77060900v2 <br /> <br /> <br /> <br /> B-1 <br /> <br />EXHIBIT B <br />FORM OF WRITTEN REQUISITION <br />OF THE BORROWER <br />BORROWER: <br />PROJECT: <br />REQUISITION NO.: ________ <br />In the Amount of $____________ <br />TO: Allianz Life Insurance Company of North America, as Funding Lender <br />c/o R4 Capital Funding LLC <br />780 Third Avenue, 16th Floor <br />New York, NY 10017 <br />Attention: Tara Nussbaum <br /> <br />R4 Servicer LLC, as Controlling Person <br />155 Federal Street, Suite 1400 <br />Boston, MA 02110 <br />Attention: Greg Doble <br /> <br />The Borrower hereby requests payments in the following amounts, from the following sources and <br />to be made to the following parties, all as set forth on the Borrower’s Request for Payment attached <br />to this Requisition: <br /> <br />Amount Source Payable to: <br /> [identify name of Account & <br />Fund] <br />[Borrower’s account #] <br />[third party payment/wire <br />instructions must be attached] <br /> <br />Requisition - Contents and Attachments <br /> Borrower’s Request for Payment <br /> Borrower’s Representations and Warranties <br /> Updated Loan Balancing (Sources and Uses) & Monthly Requisition Spreadsheet <br /> Contractor’s Application and Certification for Payment (AIA Form G-702 & G-703) <br /> Architect, Contractor, Owner Change Order (Executed AIA G-701(s) added to G-702) <br /> Pending Change Order and Change Order Log (dated) <br /> Vendor Payee List or equivalent <br /> Requisitions and Invoices Supporting Application <br /> Contractor’s Requisition Certificate <br /> Architect’s Requisition Certificate <br /> Lien Waivers, Conditional for the current Hard cost pay request <br /> Lien Waivers, Unconditional for payment thru the prior period pay request <br /> Stored Materials Log and documentation (e.g., insurance, bill of sale, invoices, photos) as <br />Applicable <br /> Current Project Schedule <br /> Other Documents as Requested by the Funding Lender or Controlling Person