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<br />CWCR Construction Fund Loan Application <br /> <br />1. List any existing liability or indebtedness that exceeds one thousand dollars. For example, bank <br />loans, govermnent agency loans, bond issues, accounts payable, etc. Include names and addresses <br />oflenders, amounts, due dates and maturity dates. Attach a separate schedule, if needed. <br /> <br />Remaining Annual Maturity <br />T p.nn"r N~"", & Annr""" Ammmt P~ym"nt O~t" <br /> <br />N/A <br /> <br />2. Are any of the above liabilities now in defuult, or been in defuult at any time in the past? YES_ <br />NO X . If YES, please give detailed explanation. <br /> <br />3. Please provide a summaIy of all revenues received during the last two fiscal years by category <br />(such as service charges, tap fees, assessments, etc.). Oitr.h A""""""'f>1lt" ~nmlRlIy of$11,?/i0 00 <br />p"r y"~r <br /> <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.). <br /> <br />S. What collateral will you be offering for this loan? Possibilities include the project itself: pledge of <br />revenues, real estate, water rights. Pl"ngt' ofOitr.h A"""""mf>1lt" ~nn r.nrr"nt projer.t" <br /> <br />The above statements are true, to the best of my knowledge: <br />Signature of Applicant . <br />By ~ .__.___J(~ -:)- ~ <?---- ,~. \). j;- <br /> <br />Printed Name: T "on F Fritzl"r <br />Title: Pr""in"nt Srrinen~l" Oitr.h f'ompmW <br /> <br />Date <br /> <br />4 <br /> <br />CFLA902 <br />