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<br />Remaining <br /> <br />Annual <br /> <br />Maturity <br />Lender Name & Address <br />Date <br /> <br />See Above. <br /> <br />Amount <br /> <br />Payment <br /> <br />2. Are any of the above liabilities now in default, or been in default at any time in the past? <br />NO. <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.). <br />Rental property located in Hot Sulphur Springs, Colorado. <br /> <br />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 <br />of Local Government, etc. <br />None at this point. <br />4. What collateral will you be offering for this loan? Possibilities include the project itself: <br />pledge of revenues, real estate, water rights. <br />Project itself. <br /> <br />The above statements are true, to the best of my knowledge: <br /> <br />:~OfA~ ~ <br /> <br />Printed Name ~ \ C~~~ Y\)\tv\\tJtt <br />Title \Y (~(~\-(1 \~W <br />Date \JeJe fIlA ~V\ Ie) '7007- <br />I <br /> <br />C;\Projects\Market\CFLA902 <br />