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<br />1. List any existing liability or indebtedness which exceeds one-thousand dollars. For <br />example, bank loans, government agency loans, bond issues, accounts payable,etc. <br />Include names and addresses of lenders, amounts, due dates and maturity dates. (You <br />may attach a separate schedule if you wish): <br />Lender <br /> <br />Total <br /> <br />Due Muurity <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />CWCB Construction Fund Loan Application <br />Revised January 31, 1994 <br /> <br />9. What is the estimated cost of the project? Please include estimated En~inC(:ring costs, <br />and estimated Construction costs, if known: <br />Estimated Engineering Costs: $ 1,000.00 <br />Estimated Construction Costs: $35,000.00.' <br />Estimated Total Costs: $36,000.00 <br /> <br />10. What loan amount and terms are you requesting?: <br />Requested Loan Amount: $ 27,000. 00 <br />Term (length) of loan: 10 years <br />Interest Rate: J . 75 % <br /> <br />Part C. - Project Sponsor Financial Information <br /> <br />Because the CWCB Construction Fund is a revolving fund, it is important that the project <br />sponsor have the financial capacity to repay any loans made by the CWCB. The following <br />information is requested to assist the CWCB in a preliminary assessment of the applicant's <br />financial capacity. It is also requested that the project sponsor submit with this application <br />copies of the two most recent annual reports, financial statements, corporate reports or other <br />current documentation of financial condition and operations. <br /> <br />Name! Address Amount Dates Date;; <br />Farmers State Bank Fort Morgan ~$9,136..00 June 1997 <br />Payment due in 1996 is $5500.00. Balance due 6/30/1997 <br />It would be helpfUl to payoff this old Loan with this new Loan. <br />4 <br />