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CWCB Construction Fund Loan Application construction costs, if known. Estimated Engineering Costs: $10,000 Estimated Construction Costs: $342,625 *See Appendix A Estimated Total Costs: $352,625 10. Loan amount and terms you are requesting. Requested Loan Amount: SO,f25 (Usually 75%ofEstimated Total Costs) Term (length) of loan: 3~ years (usually to, 20, or 3o years) L • Interest Rate: 2. S °/n (Please call for our current rates) Part C. -Project Sponsor Financial Information Because the CWCB Construction Fund is a revolving fund, it is important that the project sponsor have the financial capacity to repay any loans made by the CWCB. The following information is needed to assist the CWCB in a preliminary assessment of the applicant's financial capacity. It is also requested that the project sponsor submit with this application copies of the two most recent annual reports, financial statements, corporate reports or other current documentation of financial condition and operations. *See Appendix B for 2001, 2002 & 2003 Financial Statements & Current Assessments *See Appendix C for Certificate of Incorporation & Bylaws 1. List any existing liability or indebtedness that exceeds one thousand dollars. For example, bank loans, government agency loans, bond issues, accounts payable, etc. Include names and addresses of lenders, amounts, due dates and maturity dates. Attach a separate schedule, if needed. Remaining Annual Maturity Amount Pa~llt late The East Fork Ditch Company is current with all bills. The loan from CO Bank to build the ditch was paid off in December 1998. 2. Are any of the above liabilities now in default, or been in default at any time in the past? YES NO X . If YES, please give detailed explanation. 3. Please provide a summary of all revenues received during the last two fiscal years by category (such as service charges, tap fees, assessments, etc.). 4 cFi~9oz