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<br />CWCB Construction Fund Loan Application <br /> <br />Lender Name & Address <br />CWCB EMERGENCY LOAN <br /> <br />Amount <br /> <br />Payment <br />$10,297 <br /> <br />Date <br /> <br />$83,000 <br /> <br />2. Are any of the above liabilities now in default, or been in default at any time in the past? YES_ <br />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 />SEE ATTACHED FINANCIAL SHEETS <br /> <br />4. Please provide a brief narrative description of sources of funding, in addition to the CWCB, which <br />have been explored for this project (Examples would be Banks, Rural Development, NRCS, <br />Colorado Water Resources and Power Development Authority, Colorado Division of Local <br />Government, etc.). FISH & WILDLIFE WILL NOT FUND RECHARGE PONDS AT <br />THE DEPTH PROPOSED. FIRST SECURITY BANK OF BRUSH DOES NOT PROVIDE <br /> <br />LONG-TERM FIXED RATE FINANCING FOR AGRICULTURAL PROJECTS. <br /> <br />5. What collateral will you be offering for this loan? Possibilities include the project itself" pledge of <br />revenues, real estate, water rights. 'l'HB UPBCC WILL PLEDGE ASSESSMENT REVENUES <br /> <br />BACKED BY ASSESSMENT COVENANT AND THE PROJECT ITSELF. <br /> <br />The above statements are true, to the best of my knowledge: <br /> <br /> <br />Date <br /> <br />C:\Projects\Market\CFlA902 <br />