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CWCB Water Project Loan Application <br />Lender Name & Address <br />None <br />Remaining Annual Maturity <br />Amount P4Ment 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 V.L. If YES, please give detailed explanation. <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.. See Attachment D Funding Sources <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 />Pledge of revenues, the project itself, and Water Rights if required. <br />The above statements are true, to the best of my knowledge: <br />Signature of Applicant <br />Printed Name <br />Title <br />Date <br />4 <br />