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<br />JAN-20-20G4,aE 12:09 PM AQUA ENGINEERING INC <br />.., ...'-,. <br />< <br /> <br />FAX NO. 9702263855 <br /> <br />P. 12/12 <br /> <br />~: .\r'" <br /> <br />CWCB Construction Fund Loan Application <br /> <br />f <br /> <br />.J.&lldcr Name & Address <br /> <br />Remaining <br />Amount <br /> <br />Annual <br />Payment <br /> <br />Maturity <br />D~!!Q <br /> <br />None. <br /> <br />2. Arc 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 aU revenues received during the last two fiscal years by category <br /> <br />(such as service charges, tapIee~ at;sessments etc.). ~OO~ <lA~~ <br />200L 2003 L L LVVJ <br />Assessments 4~ 34~ Interest 4,713 0 <br />Running charges 360 0 Dividends 3,868 1,192 <br />.r rental 10 574 0 <br />Stock transfer fees 10 190 Crossing fees 34,500 5,000 <br />Tax refurld 58,546 8,960 <br />. . fee 0 500 Augmentation 0 21,250 <br />4. rPea~erwm"i<Ie' a~ricf narrative description 0 SOUrces of funding, in addition to the eWCB, <br /> <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.). Union Ditch Co. has money in a money market account that <br /> <br />an be utilized to assist in the payment 6f this project, if necessary. <br /> <br /> <br /> <br />5. What collatenll will you be offering for this loan? Possibilities include the project itself, pledge <br />of revenues, real estate) water rights. 5. 3/4 shares of Union Reservo ir Company <br /> <br />~Qich is owned by the Union Ditch Co. <br /> <br />The above statements are true, to the best of my knowledge: <br />Signature of AppHca;; .AA...I <br />By ~ aa.., <br />Printed Name _ (; H~Y R L Les <br />Title ffl.es I [) eN T <br />Dale / - 3d --0 'I <br /> <br />C:\PJ'Oject<;\MlIrkul\Crr .MOl <br /> <br />4 <br /> <br />CFI.A1J112 <br />