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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 />~~Ie o,•to4 ~ec~ ve/~ Ga~p I ~o~4a ~t s/ ~5~ 9 ~y ~= '~ ~, ro3. ~° Jo- / -1 Z <br />TT <br />Po, pou 6~i ~foif~Ylo~~RK c~ So?o r <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 />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 />l.~tl ba~t~ ~ti~Q ~~~h ~1~~`~ DQo~,nol~~~ <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 />f'1 e~#q~ a~ -~~ /e~ Kes ~~t ~Q ~~,~ t~~ ~`~s~ I-~ <br />The above statements are true, to the best of my,knowledge: <br />Signature of Appl <br />Printed Name ~COtI' ~~~be l <br />Title P/`e~s%~e~~" <br />Date 2~~' ~ 9 <br />4 <br />