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<br />CWCB Construction Fund Loan Application <br /> <br />Annual <br />Payment <br /> <br />Maturity <br />Date <br /> <br />Lender Name & Address <br /> <br />Remaining <br />Amount <br /> <br />2. Are any of the above liabilities now in default, or been in default at any time in the past? <br />YES_ NO _' If YES, please give detailed explanation. <br /> <br />3. Please provide a summary of all revenues received during the last two fiscal years by category <br />(such as service charges, tap fees, assessments, etc.). <br /> <br />4. Please provide a brief narrative description of sources of funding, in addition to the CWCB, <br />which have been explored for this project (Examples would be Banks, Rural Development, <br />NRCS, Colorado Water Resources and Power Development Authority, Colorado Division of <br />Local Government, etc.). ru-nJi'I1S WI I J Cl:>Jn8 hrt>Yn ~J, <br /> <br />ctp pI ;ti}fl j. <br /> <br />5. What collateral will you be offering for this loan? Possibilities include the project itself, pledge <br />of revenues, real estate, water rights. W~ ,.,J"ul,J J;1(4 -Ii) pJ.}'S~ th!. f"~Y'mfJ4.S <br /> <br />1;-0 -th rb all tt-kf ;)1 k ~o1d kJ 11 Vdl <br />tikI'S ~S qll qPF ,'.e'471+1S df"~ f").JY1 ~r~ lh l.LJflA71-Wi!JJ <br />u'Sd.<6. <br />The above statements are true, to the best of my knowledge: <br /> <br />:;'~li7)~ <br /> <br />Printed Name ~y~n Yt>JJ1'11~-r <br />Title <br />Date Jll)lj 3D ~h! Q)b()"y <br />'" <br /> <br />C:\Projects\Market\CFLA902 <br /> <br />4 <br /> <br />CFLA902 <br />