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CWCB Construction Fund Loan Application <br /> Total Annual Maturity <br /> Lender Name &Address Amount Payment Date <br /> CWCB Denver , Colorado 35 ,410 .48 2 , 108 . 1.1 2028 <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 /> 3. Please provide a summary of all revenues received during the last two fiscal years by category <br /> (such as service charges, tap fees, assessments, etc.). <br /> See attached financial statements for 1999 , 2000, 2001 <br /> 4, Please provide a brief narrative description of potential sources of funding, in addition to the <br /> CWCB, which have been explored or which will be explored for the proposed project <br /> (Examples would be Banks, Rural Development, NRCS, Colorado Water Resources and Power <br /> Development Authority, Colorado Division of Local Government, etc.). Loan amoun t <br /> well above local banks ability <br /> 5. What collateral will you be offering for this loan? Possibilities include the project itself, pledge <br /> of revenues, real estate, water rights. We could give you a Certificate of <br /> Deposit in the amount of one loan payment on the project we are <br /> building; also , perhaps a deed of trust for land purchased. <br /> The above statements are true, to the best of my knowledge: <br /> Signature of Applicant <br /> By "v` 4 <br /> Printed Name Er <br /> Title <br /> Date 15-0y ,', o� eozR <br /> C Market\CFLA400.doc <br /> 4 <br />