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<br />Lender Name & Addrt'\~~ <br /> <br />Remaining <br />A m01lnt <br /> <br />Annual <br />Payment <br /> <br />Maturity <br />Date <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 />, <br /> <br />1. List any existing long-tenn liability (multi-year) or indebtedness that exceeds one thousand <br />dollars. For example, bank loans, government agency loans, bond issueis, accounts payable, etc. <br />Include names and addresses of lenders, amounts, due dates and titaturity dates. Attach a <br />separate schedule, if needed. <br /> <br />None <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 -L. If YES, please give detailed explanation. <br /> <br />3. Please provide a brief narrative description of sources of funding, inl addition to the CWCB, <br />which have been explored for this project (Examples would b~ Banks, USDA Rural <br />Development, NRCS, Colorado Water Resources and Power Developnient Authority, Colorado <br />Division of Local Government, etc.). NRCS - We have requested a loan with <br /> <br />matching funds f'rom Equip program from the Rocky Ford, CO field office. <br /> <br />Corrm.mity B9.nk of Rocky Fordand Fowler State B9.nk of Fowler <br /> <br />4. What collateral will you be offering for this loan? Possibilities include ~ pledge of revenues , the <br />project itself, real estate, water rights. Pledge against Annual Assestments <br /> <br />The a~ove statements.are ~.'. the ~\Ofmy.1'\<> ~ owwlleedge: <br />SIgnature of APPlican~~ <br />Printed Name Dan Henrichs <br />Title Superintendent <br />Date 7-27-05 <br /> <br />4 <br />