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CWCB Water Project Loan Application <br />Lender Name & Address <br />Remaining Annual Maturity <br />Amount Pa ent Date <br />2. Are any of the above liabilities now in default, or been in default at any time in the past? <br />3 <br />YES NO A. 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 />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 />The above statements are true, to the best of my knowledge: <br />Signature of <br />Printed Name /- r or" K A, EC k K 0.',^ d I . �',�' <br />Date O Ro <br />4 <br />umqw, <br />