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CWCB Construction Fund Loan Application <br />]. 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 />Remaining Annual Maturity <br />Lender Name & Address }~ Amount Payment Date <br />i r`~i ~t ~~f° (,.;t It°~~ ~~~~E, .~~~i c. ~~rl~ ~~~~,il ~~'~~t~ -':~~~ E~/ ~~~/s, '~~ r,, '~ ,J~..i:Cz~~ <br />,n. <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 />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.). <br />4. What collateral will you be offering for this loan? Possibilities include a pledge of revenues, <br />the project itself, real estate, water rights. <br />The above statements are true, to the best of my knowled e~~:If /l <br />Signature of Applicant l w2~~~ 1 ~~~'~ /G~ `~ ~' = `~- <br />Printed Name ~, ~ ~~ E~1 ~ ' [.-~ /LL l~ Z,h ~ <br />Title Y rs ~t~ <br />Date ~ :~~ ~ y <br />4 <br />