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CWCB Construction Fund Loan Application <br />~ -- <br />1. List any e~usting long-term liability (multi-year) or indebtedness that exc~eds one thousand <br />dollars. For example, bank loans, government agency loans, bond issues, accounts payable, etc. <br />Inctude names and addresses of lenders, amounts, due dates and maturity dates. Attach a <br />separate schedule, if needed. <br />Lender Name & Address <br />Remaining Antiual Maturity <br />Amount Payment Date <br />2. Are a~y of zhe above liak~i~taes uow in default, or baen ~ default at any time in the past? <br />YES NO ~C . If YES, please give detailed explana~ion. <br />3. Please provide a brief narrative description of sources of funding, in addition to the CWCB, <br />which liave been explored for this pro1ect (Examples would be Banks, USDA Rural <br />Development, NRCS, Colorado Wate~ Resources and Power Development Authority, Colorado <br />Division of Local Government, etc.). ~a-~ <br />4. What collateral will you be offeri.ng for this loan? Possibilities include a pled e of revenues, <br />the.pro~~tirsel~r~al estate,vvat~'rights. ~ Ie.dG~ ~-~ ~-~ax fwr~ , r-ea~ es-~-~-p_ . <br />~ , <br />The above statements aze true,~ the best of <br />Signa~ure of Appiicant . W~- <br />Printed Name -.~c~'v1,~5 T ~c~.~.vt <br />Title N~vt~t~',c~ <br />~ate 3 ~Zo %o~!' <br />4 <br />