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CWCB Construction Fund Loan Apulication <br />List and existing long-term liability (multi-year) ar indebtedness that exceeds one <br />Thousand dollars. For example, bank loans, government agency loans, bond issues, <br />accounts payable, etc. Includes names and addresses of lenders, amounts, due dates and <br />maturity dates. Attach a separate schedule, if needed. <br />Remaining Annual Maturity <br />Lender Name & Address Amount Payment Date <br />Rural Development Loan #04 218,000 20,125 2023 <br />Rural Development Loan #OS b29 900. 43,187. 2033 <br />Rural Development Loan #07 135 400 9,260. 2034 <br />2. Are any of the above liabilities now in default, or been in default at any time in the past? <br />YES NO X If YES, please give detailed explanation. <br />3. Please provide a brief narrative description of source of funding, in addition to the <br />CWCB, which have been explored for this project. (Examples would be Banks, USDA, <br />Rural Development, NRCS, Colorado Water Resources and Power Development <br />Authority, Colorado Division of Local Government, etc.) We have contacted the <br />Department of Local Affairs, which usually lends for the distribution side of a water <br />system and does not loan on leased assets local Banks whose interest rates are <br />prohibitive and to whom we cannot pledge the asset since it is owned by BLM. We are <br />seeking federal assistance through Congressional Funding, and BLM is attemptin tg~ o find <br />some emer,~ency funds to enable the well drilling at their expense. <br />4. What collateral will you be offering for this loan? Possibilities include a pledge of <br />revenues, the project itself, real estate, water rights. Pledge of Revenues <br />The above statements are true, tot best of my knowledge. <br />Signature of A plicant :11 l .~ ~' D <br />Printed Name ~~ v" ' I'Yl~c /' " ~ ti <br />Title ' ~t ~ ~ Y' <br />Date 1 'a -O <br />