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<br />.. <br /> <br />CWCB Construction Fund Loan Application <br /> <br />Form Revised March 4, 1998 <br /> <br />1. List any existing liability or indebtedness that exceeds one thousand dollars. For example, <br />bank loans, government agency loans, bond issues, accounts payable, etc. Include names <br />and addresses of lenders, amounts, due dates and maturity dates. (You may attach a <br />separate schedule if you wish): <br />Lender Total Due Maturity <br />Name/Address Amount Dates ~ <br />Purgatoire River Water $3,166,125 See two contracts dated May 28, <br />Conservancy District 1966, Attachments 7 and 8 hereto. <br />314 West Main Street <br />Trinidad, Colorado 81082 <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 X . If"YES", please give detailed explanation: <br /> <br />3. Please provide a summary of all revenues received during the last two fiscal years by <br />category (such as service charges, tap fees, assessments, etc.): See Income Statement <br />dated December 31, 1997, Attachment 9 hereto. and Profit and Loss YTD statement <br />dated December 1998, Attachment 10 hereto. In addition to the income reflected in the <br />attached statements the Company received approximately $72,000 in annual assessments <br />from shareholders in each year. <br /> <br />4. Please provide a brief narrative description of potential sources of funding (in addition to <br />the CWCB) which have been explored or which will be explored for the proposed project <br />(Examples would be Banks, Rural Development, Colorado Water Resources and Power <br />Development Authority, Colorado Division of Local Government, etc.) None <br /> <br />5 <br />