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<br />CWCB Construction Fund Loan Application <br /> <br />FOmt Revised March 4, 1998 <br /> <br />and operations. <br />L 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 /> <br />Name! Address <br /> <br />Amount <br /> <br />Due Maturity <br />Dates Date <br /> <br />Lender <br /> <br />Total <br /> <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 /> <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 />S f/l. ; f)(ltU.. d fui s -fa'-km2 fJ'/0 <br /> <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, Colorado Water Resources and Power <br />Development Authority, Colorado Division of Local Government, etc.) <br />Sed/un 3;q f~(/ ds, frorn iN cPA) 5-1af~ ~')&J/ fffnsfrva'l/crj lrnrd. <br /> <br />5 <br />