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<br />CWCB Construction Fund Loan Application
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<br />of lenders, amounts, due dates and maturity dates. Attach a separate schedule, ifneeded.
<br />
<br />Remaining Annual Maturity
<br />T "nd"r NHT11P. IV Add"",,~ Amonnt P'lyr>1f'nt OHt"
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<br />No""
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<br />2, Are any of the above liabilities now in defuuh, or been in defuuh at any time in the past? YES_
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<br />NO -X __' If YES, please give detailed explanation.
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<br />3. Please provide a SUII1IlIa1)' of all revenues received during the last two fiscal years by category
<br />(such as service charges, tap fees, assessments, etc,).
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<br />?OOO' A"""""""",ts $/i?)TI; TJ""r's Fre $701: r "".... $4,1'i0: TntP.rest IV Mi"" Tn<'-"T11P. $I,1q'i: for
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<br />H tot HI of$/iq ??O in rev""n",,
<br />,
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<br />1 qqq. A~",,~om1P.nt~ $71 741. 1 J"",,'s Fre $/iQ4' T "".... $4 q'iO' lnt~ IV Mi"" In<'-''T11P. $ll'ill' for H
<br />, } ~, , , -
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<br />totHl of$711,?4? in rev""n,,
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<br />4, Please provide a brief narrative description of sources of funding, in addition to the CWCB, which
<br />have been explored for this project (Examples would be Banks, Rural Development, NRCS,
<br />Colorado Water Resources and Power Development Authority, Colorado Division of Local
<br />Government, etc,). 1'I1P. FiN! NHtiorull RHnk of Orilumy will pmvid" ""-"'1iM firul""ing on t""
<br />re"",ini~ ?'i% oft"" prc1jl'rls, Hnd will ""nd]", t"" short tP.ml "-,,nstrnmon drnws
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<br />5, What collateral will you be offuring for this loan? POSSIbilities include the project itself; pledge of
<br />revenues, real estate, water rights. 1'I1P. r.o"1J"'ny will p"S~ H re""lnt;on Hnd P.ntP.T into Hn
<br />'l~ Hnd pmmi"",,'Y not" stHting thHt H""""om1P.ntS will "" "-'111M to "-"VP.T t"" 10Hn J"lyr>1f'nts
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<br />The above statements are true, to the best of my knowledge:
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<br />Signatu{e of Applicant
<br />By n~Q,-Y\ d. ?v~~~
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<br />Printed Name AllP.n T, Ring]",
<br />
<br />Title MHrulgf'T
<br />
<br />Date AngJlst 71, ?Ml
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<br />C~""
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<br />4
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