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` Grant Application-CWCB Construction Fund <br /> Form Revbed December 16,1999 <br /> project or study is of State interest and benefits a wide range of people. The following information is <br /> requested to assist the CWCB in a preliminary assessment of the applicant's financial capacity. It is also <br /> requested that the project sponsor submit with this application copies of the two most recent annual <br /> reports, financial statements, corporate reports or other current documentation of financial condition <br /> and operations. <br /> 1. List any existing liability or indebtedness that exceeds one thousand dollars. For example,bank <br /> loans, government agency loans, bond issues, accounts payable, etc. Include names and <br /> addresses of lenders, amounts, due dates and maturity dates. (You may attach a separate <br /> schedule if you wish): <br /> Lender Total Annual Maturity <br /> Name/Address Amount Pat_ Date <br /> None <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 /> 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 /> 2001 Ad Valorem&Ownership Taxes$138,044.00 <br /> 2001 Interest Income . 1,717.00 <br /> 2001 GroundWater Study Cost Share 15,000.00 <br /> 2001 M'isc. Income $200.00 <br /> 2001 Total District incnme $154,96()no <br /> 2002 Ad Valorem&Ownership Taxes $151,079.00 <br /> 2002 Interest Income 1,014.00 <br /> 5 <br />