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<br />CWCB Construction Fund Loan Application <br /> <br />1. 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 /> <br />Lender Name & Address <br /> <br />Remaining <br />Amount <br /> <br />Annual <br />Payment <br /> <br />Maturity <br />Date <br /> <br />NA <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 _' If YES, please give detailed explanation. <br /> <br />3. 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.). Yearly assessment on the 4,000 shares <br />of Bijou Irrigation Company stock <br /> <br />4. What collateral will you be offering for this loan? Possibilities include a pledge of revenues, the <br />project itself, real estate, water rights. The proj ect itself or one payment in <br /> <br />a certificate of deposit account <br /> <br />The above statements are t~ru the best f my knowledge: /-;) m <br />Signature of Applican _ a . Z/~ <br />Printed Name Douglas . Dill <br />Title President <br />Date 7 / 30 / 2 0 0 7 <br /> <br />4 <br />