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<br />, <br />~.. .'''. <br /> <br />CWCB Construction Fund Loan Application <br /> <br />\'lpAtstar B"nk <br /> <br />Remaining <br />Amount <br /> <br />10000 (cur. lia.) <br /> <br />Annual <br />Payment <br /> <br />Maturity <br />Date <br /> <br />Lender Name & Address <br /> <br />11/01 <br /> <br />2. Are any of the above liabilities now in defadt, or been in default at any time in the past? <br />YES __ NO....x.., rfYES, please give detailed explanation. <br /> <br />3. Please pwvide a summary of all revenues received during the last two fiscal years by category <br />(such as service charges, tap fees, assessments, etc.). 1999 and 2000 Fed. Income <br />Tax Returns and current Financial Statement enclosed. <br /> <br />4. 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, Rural Development, <br />NRCS, Colorado Water Resources and Power Development Authority, Colorado Division of <br />Local Government, etc.). WeRtSt"r Bank wj] 1 provide fundin!t with <br /> <br />Parents co-signature. Thev will also provide intermediate <br /> <br />funding without co-signature providing approval CWCB. <br /> <br />5, What co\1atera1 will you be offering for this loan? Possibilities include the project itself, pledge <br />of revenues, real estate, water rights. De e d 0 f T ru st. <br /> <br />The above statements are true, to the best of my knowledge: <br />Signaturf: of Applicant <br />BY-';~ '{,~ <br />Printed Name John E. Niblack <br /> <br />Title owner <br />Date AUgUst 29. 2001 <br /> <br />Co MarketlCFLA400,doc <br /> <br />4 <br />