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CWCB Construction F�nd Loan Apptication <br />annual reports, financial statements, corparate reports or other current documentation of financial <br />condition and operations. See Annendices D and E of the Attached Feasibility Studv <br />l. List any existing long-term liability (multi-year) or indebtedness that exceeds one thousand <br />dollars. For example, bank loans, government agency loans, bond issues, accounts payable, etc. <br />Include names and addresses of lenders, amounts, due dates and maturity dates. Attach a <br />separate schedule, if needed. <br />Lender Name & Address <br />Remaining Annual Maturity <br />Amount Payment Date <br />See Secrion VI.A. of the Attached Feasibilitv Studv <br />2. Are any of the above liabilities now in default, or been in default at any time in the past? <br />YES NO XXX. If YES, please give detailed explanation. <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, USDA Rural <br />Development, NRCS, Colorado Water Resources and Power Development Authority, Colorado <br />Division of Local Government, etc.). N/A <br />4. What collateral will you be offering for tlus loan? Possibilities include a pledge of revenues, <br />the project itself, real esta.te, water rights. LAWMA could pledge its membership dues <br />assessment revenues and a nortion of the rema.ining one-half of the Keesee Water Ri ts it is <br />seekin� to purchase. <br />The above statements are true, to the best of my lrnowledge: <br />Signature of Applicant <br />Printed Name <br />Title <br />Date <br />4 <br />