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NON-BIP Long Term Obligations |
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Step 1: Please complete the table below for all existing obligations at the time of BIP Application. |
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Project Title: |
Principal |
Annual |
Term of |
Number of |
Annual |
Loan |
Start Date |
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Amount |
Interest Rate |
Loan |
Payments |
Payment |
Document |
of Loan |
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($) |
(%) |
(Years) |
(per Year) |
Amount |
Submitted? |
(mm/dd/yyyy) |
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Long Term Debt Obligations |
Description of Loan |
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Loan 1 |
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$- |
0.00% |
- |
- |
$- |
Select |
12/30/1899 |
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Loan 2 |
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$- |
0.00% |
- |
- |
$- |
Select |
12/30/1899 |
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Loan 3 |
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$- |
0.00% |
- |
- |
$- |
Select |
12/30/1899 |
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Loan 4 |
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$- |
0.00% |
- |
- |
$- |
Select |
12/30/1899 |
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Loan 5 |
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$- |
0.00% |
- |
- |
$- |
Select |
12/30/1899 |
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Capital |
Annual |
Term of |
Number of |
Annual |
Lease |
Start Date |
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Lease Amount |
Interest Rate |
Lease |
Payments |
Lease |
Document |
of Lease |
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($) |
(%) |
(Years) |
(per Year) |
Payment |
Submitted? |
(mm/dd/yyyy) |
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Lease Obligations |
Description of Lease |
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Lease 1 |
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$- |
0.00% |
- |
- |
$- |
Select |
12/30/1899 |
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Lease 2 |
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$- |
0.00% |
- |
- |
$- |
Select |
12/30/1899 |
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Lease 3 |
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$- |
0.00% |
- |
- |
$- |
Select |
12/30/1899 |
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Lease 4 |
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$- |
0.00% |
- |
- |
$- |
Select |
12/30/1899 |
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Lease 5 |
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$- |
0.00% |
- |
- |
$- |
Select |
12/30/1899 |
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NON-BIP Funding Sources |
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Step 2: Enter non-BIP funding required to support this application's pro forma financial statements. The funding for the capital budget and working capital should include documentation of equity, debt, or other contributions, including a list of the committed sources of capital funding. A brief description of each should be included. The requested BIP loan and/or BIP grant should not be listed here. |
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Forecast Period |
Grand |
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Year 1 |
Year 2 |
Year 3 |
Year 4 |
Year 5 |
Total |
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Other Capital Funding for this Project (Non-BIP Resources) |
Description of Funding (Letter from bank, board of directors, loan agreement, etc.) |
Source Document Submitted? |
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Select |
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Select |
$- |
$- |
$- |
$- |
$- |
$- |
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Equity |
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Select |
$- |
$- |
$- |
$- |
$- |
$- |
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Non-BIP Debt |
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Select |
$- |
$- |
$- |
$- |
$- |
$- |
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Bond |
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Select |
$- |
$- |
$- |
$- |
$- |
$- |
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Other |
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Select |
$- |
$- |
$- |
$- |
$- |
$- |
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Select |
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Select |
$- |
$- |
$- |
$- |
$- |
$- |
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Total Non-BIP Capital Funding by Yr |
$- |
$- |
$- |
$- |
$- |
$- |
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Forecast Period |
Grand |
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Year 1 |
Year 2 |
Year 3 |
Year 4 |
Year 5 |
Total |
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Funding for Working Capital or Other Capital Projects (Non-BIP Resources) |
Description of Funding (Letter from bank, board of directors, loan agreement, etc.) |
Source Document Submitted? |
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Select |
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Select |
$- |
$- |
$- |
$- |
$- |
$- |
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Select |
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Select |
$- |
$- |
$- |
$- |
$- |
$- |
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Select |
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Select |
$- |
$- |
$- |
$- |
$- |
$- |
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Select |
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Select |
$- |
$- |
$- |
$- |
$- |
$- |
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Select |
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Select |
$- |
$- |
$- |
$- |
$- |
$- |
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Select |
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Select |
$- |
$- |
$- |
$- |
$- |
$- |
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Total other Non-BIP Funding by Year |
$- |
$- |
$- |
$- |
$- |
$- |
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DO NOT DELETE |
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DROP-DOWN LISTS FOR WORKSHEET ABOVE |
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YES_NO |
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Select |
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Yes |
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No |
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