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Please apply to become a Lux Professional builder using the form below.
* denotes a required field.
General Builder Information
Name of Business:* City/Town:*
Street Address:* Postal Code:* Province:*
Email:* Website:
Office Phone:* Fax #: Cell #:
Builder Type(s):* (check all that apply)
Type Of Business
Other:

Company Principal/Director
Title:* Name:*
Address:* Driver's License #:*
Date of Birth: Phone #:*
Second Company Principal/Director (if applicable)
Title: Name:
Address: Phone #:
Other Company Principal/Director (if applicable)
Title: Name:
Address: Phone #:

Have you or have your shareholders or principals ever been bankrupt or in receivership proceedings?:
Have you or have your shareholders or principals ever been registered with a new home warranty program?:

Please identify three of your suppliers / sub-trades:
Supplier 1 Information
Company:*
Contact Person:*
Phone:*
Supplier 2 Information
Company:*
Contact Person:*
Phone:*
Supplier 3 Information
Company:*
Contact Person:*
Phone:*

Please identify three: Customers of new homes or Significant renovations:
First Customer
Name:
Address:
Phone #:
Second Customer
Name:
Address:
Phone #:
Third Customer
Name:
Address:
Phone #:

Experience

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

Upload a resume file:
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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.

Signature:
Net Worth Sheet
Personal Net Worth Statement Of:*
Company Owner-Applicant
Assets
CASH* $
STOCKS(GIC/RRSP)* $
REAL ESTATE* $
AUTO* $
OTHER* $
OTHER $
OTHER $
TOTAL ASSETS* $
Liabilities
TAXES* $
LINES OF CREDIT* $
MORTGAGE* $
AUTO* $
OTHER* $
OTHER $
CREDIT CARD* $
TOTAL LIABILITIES* $
NET WORTH*
(Assets/Liabilities)
$
Are you a Guarantor on any other debts?*
If yes, provide details:
Are there any laws suits or judgement against you?*
If yes, provide details:
Have you declared bankruptcy?*
If yes, provide details:
Builder Agreement

(CLICK HERE TO DOWNLOAD THE AGREEMENT)

Please print, sign and fax the builder agreement to: (506) 854-6330

The Builder Agreement is only required for final approval.