Form E-501 - Formal Application For Financing Of An Energy Project For Utilities Serving The General Public Page 2

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7.
The total cost of construction and equipment of the energy project is $________________,
consisting of the following costs:
Total
Dollar Amount
Projects
Dollars Amount
Expended to Date
(use current dollars)
In order to meet statutory requirements for the issuance of special purpose revenue bonds, the
Department of Budget and Finance is required to make a determination that the applicant is a
responsible party (by reason of economic assets and experience in the type of enterprise to be
undertaken through the energy project). Items 8 through 13 are included in this application in order
to provide the Department with a basis for making the required determination. If the obligations of
the applicant under the agreement with the Department providing for the financing are to be
guaranteed by a third party, items 8 and 10 through 13 should be answered with respect to such
guarantor as well as the applicant.
8.
Date of incorporation of the applicant and number of years the applicant has been provided
utility services to the general public: _____________________________. Attach certified copy
of articles of incorporation and by-laws of applicant (and guarantor it applicable).
9.
Is applicant's obligation to make payments to the Department under the terms of the proposed
financing to be guaranteed by a third party?
If "yes" specify third party:
10. Attach copies of the audited financial statements of the applicant for the most recent three years.
11. Attach copies of the latest Form 10-K of applicant as filed under the Securities Exchange Act of
1932 and all quarterly reports. In the event any of such reports incorporates any significant
document by reference, such as a proxy statement attach a copy of such document.
-2-

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