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CWCB Water Project Loan Application <br />Lender Name & Address <br />None <br />Remaining Annual MaturiTy <br />Amount Pa.yment Date <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 />Not Applicable <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 />We have had preliminarv discussions with Wells Fargo Bank re ag rding the financin�. Those <br />talks were met with a positive response, but have been suspended pending the success or <br />failure of this ap�lication. <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. We prefer a�ledge of revenues. <br />The above statements are <br />Signature of <br />to the best of my knoYvledge: <br />Printed Name: Dennis J. Harmon <br />., <br />Date . <br />Title: General Mana�er, The Jackson Ditch Company <br />0 <br />