RUS Form 740c Cost Estimates and Loan Budget for Electric Borrowers

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valid OMB control number. The valid OMB control number for this information collection is 0572-0032. The time required to complete this information collection is estimated to average
10 hours per response, including the time for reviewing instrcutions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the
collection of information.
This data will be used by RUS to review your financial situation. Your response is required (7 USC 901 et seq.) and is not confidential.

Form Approved
OMB No. 0572-0032

USDA-RUS

COST ESTIMATES AND LOAN BUDGET

BORROWER AND LOAN DESIGNATION

FOR ELECTRIC BORROWERS
To: U.S. Dept. of Agriculture, RUS, Washington, D. C. 20250

INSTRUCTIONS

COST ESTIMATES AS OF:

(Month, Year)

See tabs "Pg1 Instr" through "Pg4 Instr"

LOAN PERIOD

SECTION A. COST ESTIMATES

YEARS

BORROWER'S

1. DISTRIBUTION
100
a. New Line: (Excluding Tie-Lines)
Construction
Consumers
101
Underground
102
Overhead
Total Consumers. . . . . . . . . . . . .

COST ESTIMATES

RUS USE ONLY

Miles

Total Miles . . . . . . . . . . . . . . . . . . . . . .
Less Contributions . . . . . . . . . . . . . . . . . . . . . . . . . . .
Subtotal (New Line - code 100). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

200

b. New Tie-Lines
Line Designation

Miles

201
202
203
204
205
206
Subtotal from page 1A . . . . . . . . . . . . . . . . . . . . . . Miles . . . . . . . . . . . . . . . . . . .
Subtotal (Includes subtotals from pages 1A). . . . . . Miles . . . . . . . . . . . . . . . . .
300

c. Conversion and Line Changes
Line Designation

Miles

301
302
303
304
305
306
307
308
309
310
Subtotal from page 1A . . . . . . . . . . . . . . . . . . . . . . . . . Miles . . . . . . . . . . . . . . . . . .
Subtotal . (Includes subtotals from pages 1A) . . . . . Miles . . . . . . . . . . . . . . . . . .
400

d. New Substations, Switching Stations, Metering Points, etc.
Station Designation
kVA

kV to kV

401
402
403
404
405
406
Subtotal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
RUS FORM 740c

(Rev. 10-01, V2, 2/5/04)

PAGE 1 OF 4 PAGES

COST ESTIMATE AND LOAN BUDGET FOR ELECTRIC BORROWERS

BORROWER AND LOAN DESIGNATION

SECTION A. COST ESTIMATES (Page 1 Continuation Sheet)

BORROWER'S

RUS USE ONLY

COST ESTIMATES

200 b. New Tie-Lines (Continued)
Line Designation
207
208
209
210
211
212
213
214
215
216

Miles

Miles . . . . . . . . . . . . . . . . . . . . .
Subtotal (transfers to page 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
300

c. Conversion and Line Changes(Continued)
Line Designation

Miles

311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
Subtotal (transfers to page 1). . . . . . . . . . . . . . . . . . . . . Miles

RUS Form 740c

(Rev. 10-01, V2, 2/5/04)

Page 1A of 4

BORROWER AND LOAN DESIGNATION

SECTION A. COST ESTIMATES(cont.)

BORROWER'S
COST ESTIMATES

500

e. Substation, Switching Station, Metering Point Changes
Description of Changes
Station Designation

501
502
503
504
505
506
507
508
509
Subtotal From Page 2A . . . . . . . . . . . . . . . . . . .
Subtotal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
600 f. Miscellaneous Distribution Equipment
601 (1) Transformers and Meters
Meters
Construction
Transformers
Underground
Overhead
Subtotal code 601 . . . (included in total of all 600 codes below)
602
603
604
605
606

(2) Sets of Service Wires to increase Capacity
(3) Sectionalizing Equipment
(4) Regulators
(5) Capacitors
(6) Ordinary Replacements
(7)
(8)
(9)
(10)
(11)
Subtotal ALL 600 codes . . . . . . . . . . . . . . . . . . . . . . . . .

700 g. Other Distribution Items
701 (1) Engineering Fees
702 (2) Security Lights
703 (3) Reimbursement of General Funds (see attached)
704 (4)
Subtotal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TOTAL DISTRIBUTION. . . . . . . . .
800

2. Transmission
a. New Line
Line Designation

Voltage

Wire Size

Miles

801
802
803
804
805
806
807
808
809
810
Subtotal - Miles from Page 2A . . . . . . . . . .
Total Miles . . . . . . . . . . . . .
Subtotal From Page 2A . . . . . . . . . . . . . . . . . . . . . . . .
Subtotal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
RUS Form 740c

(Rev. 10-01, V2, 2/5/04)

PAGE 2 OF 4 PAGES

RUS USE ONLY

COST ESTIMATE AND LOAN BUDGET FOR ELECTRIC BORROWERS

BORROWER AND LOAN DESIGNATION

SECTION A. COST ESTIMATES (Page 2 Continuation Sheet)

BORROWER'S

RUS USE ONLY

COST ESTIMATES

500 e. Substation, Switch Stations, Metering Point Changes (Continued)
Station Designation
kVA
510
511
512
513
514
515
516
517
518
519
520
521
522
523
524
525
526
527
528
529
530
531
532
533
534
535
536
537
538
539
540
541
542
543
544
545
546
547
548
549
550
551
552
553
554

kV TO kV

Subtotal (transfers to page 2) . . . . . . . . . . . . . . . . . . . .
800 a. New Line (Continued)
Line Designation
811
812
813
814
815
816
817
818
819
820

Voltage

Wire Size

Miles

Subtotal - Miles(transfers to page 2). .
Subtotal (transfers to page 2). . . . . . . . . . . . . . . . . . . . .

RUS Form 740c

(Rev. 10-01, V2, 2/5/04)

Page 2A of 4

COST ESTIMATE AND LOAN BUDGET FOR ELECTRIC BORROWERS

SECTION A. COST ESTIMATES

BORROWER AND LOAN DESIGNATION

(cont.)

BORROWER'S
COST ESTIMATES

900

b. New Substation, Switching Station, etc.
Station Designation

kVA

kV TO kV

901
902
903
904
905
906
907
908
Subtotal From Page 3A . . . . . . . . . . . . . . . . . . . . . . . .
Subtotal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1000 c. Line and Station Changes
Line/Station Designation
Description of Changes
1001
1002
1003
1004
1005
1006
1007
1008
1009
Subtotal From page 3A through 3C . . . . . . . . . . . . . . . . . .
Subtotal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1100 d. Other Transmission Items
1101
(1)
R/W Procurement
1102
(2)
Engineering Fees
1103
(3)
Reimbursement of General Funds (see schedule)
1104
(4)
Subtotal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TOTAL TRANSMISSION. . . . . . . . . . . .
1200 3. GENERATION (including Step-up Station at Plant)
1201 a Fuel
Nameplate Rating
1202 b.

kW

TOTAL GENERATION. . . . . . . . . . . . . .

1300 4. HEADQUARTERS FACILITIES
1301 a. New or additional Facilities
1302 b.

(Attach RUS Form 740g)

TOTAL HEADQUARTERS FACILITIES . . . . . . . . . . . . . . . .
RUS Form 740c

(Rev. 10-01, V2, 2/5/04)

PAGE 3 OF 4 PAGES

RUS USE ONLY

COST ESTIMATE AND LOAN BUDGET FOR ELECTRIC BORROWERS

BORROWER AND LOAN DESIGNATION

SECTION A. COST ESTIMATES (Page 3 Continuation Sheet)

BORROWER'S

RUS USE ONLY

COST ESTIMATES

900 b. New Substation, Switching Station, etc. (Continued)
Station Designation
kVA
909
910
911
912
913
914
915
916
917
918

kV TO kV

Subtotal (transfers to page 3) . . . . . . . . . . . . . . . . . . . . . .
1000

c. Line and Station Changes(Continued)
Line/Station Designation

Description of Changes

1010
1011
1012
1013
1014
1015
1016
1017
1018
1019
1020
1021
1022
1023
1024
1025
1026
1027
1028
1029
1030
1031
1032
1033
1034
1035
1036
1037
1038
1039
1040
1041
1042
1043
1044
1045
1046
1047
1048
1049
1050
1051
1052
Subtotal (transfers to page 3). . . . . . . . . . . . . . . . . . . . .

RUS Form 740c

(Rev. 10-01, V2, 2/5/04)

Page 3A of 4

COST ESTIMATE AND LOAN BUDGET FOR ELECTRIC BORROWERS

BORROWER AND LOAN DESIGNATION

SECTION A. COST ESTIMATES (Page 3 Continuation Sheet)

BORROWER'S

RUS USE ONLY

COST ESTIMATES

1000

c. Line and Station Changes(Continued)
Line/Station Designation

Description of Changes

1053
1054
1055
1056
1057
1058
1059
1060
1061
1062
1063
1064
1065
1066
1067
1068
1069
1070
1071
1072
1073
1074
1075
1076
1077
1078
1079
1080
1081
1082
1083
1084
1085
1086
1087
1088
1089
1090
1091
1092
1093
1094
1095
1096
1097
1098
1099
1000.1
1000.2
1000.3
1000.4
1000.5
1000.5
1000.7
1000.8
1000.9
1001.1
1001.2
1001.3
1001.4
1001.5
1001.6
1001.7
Subtotal (transfers to page 3). . . . . . . . . . . . . . . . . . . . .

RUS Form 740c

(Rev. 10-01, V2, 2/5/04)

Page 3B of 4

COST ESTIMATE AND LOAN BUDGET FOR ELECTRIC BORROWERS

BORROWER AND LOAN DESIGNATION

SECTION A. COST ESTIMATES (Page 3 Continuation Sheet)

BORROWER'S

RUS USE ONLY

COST ESTIMATES

1000

c. Line and Station Changes(Continued)
Line/Station Designation

Description of Changes

1001.8
1001.9
1002.1
1002.2
1002.3
1002.4
1002.5
1002.6
1002.7
1002.8
1002.9
1003.1
1003.2
1003.3
1003.4
1003.5
1003.6
1003.7
1003.8
1003.9
1004.1
1004.2
1004.5
1004.6
1004.7
1004.8
1004.9
1005.1
1005.2
1005.3
1005.4
1005.6
1005.7
1005.8
1005.9
1006.1
1006.2
1006.3
1006.4
1006.5
1006.6
1006.7
1006.8
1006.9
1007.1
1007.2
1007.3
1007.4
1007.5
1007.6
1007.7
1007.8
1007.9
1008.1
1008.2
1008.3
1008.4
1008.5
1008.6
1008.7
1008.8
1008.9
1009.1
Subtotal (transfers to page 3). . . . . . . . . . . . . . . . . . . . .

RUS Form 740c

(Rev. 10-01, V2, 2/5/04)

Page 3C of 4

COST ESTIMATE AND LOAN BUDGET FOR ELECTRIC BORROWER
SECTION A. COST ESTIMATES

1400 5. ACQUISITIONS
1401 a.
1402 b.

BORROWER AND LOAN DESIGNATION

(cont.)

BORROWER'S
COST ESTIMATES

Consumers

RUS USE ONLY

Miles

TOTAL ACQUISITIONS. . . . . . . .
1500 6. ALL OTHER
1501 a.
1502 b.
1503 c.
1504 d.
1505 e.
TOTAL ALL OTHER. . . . . . . . . . .
SECTION B. SUMMARY OF AMOUNTS AND SOURCES OF FINANCING
1. GRAND TOTAL - ALL COSTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. FUNDS AND MATERIALS AVAILABLE FOR FACILITIES
a. Loan Funds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Materials and Special Equipment . . . . . . . . . . . . . . . . . . . . . . . . .
c. General Funds . . . . . . . . . Purpose 1
Purpose 2
Purpose 3
Purpose 4
Total General Funds Applied . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Total Available Funds and Materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. NEW FINANCING REQUESTED FOR FACILITIES . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. RUS LOAN REQUESTED FOR FACILITIES. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. TOTAL SUPPLEMENTAL LOAN REQUESTED . . . . . . . . . . . . . . . . . . . . . . . . .
National Rural Utilities Cooperative Finance Corporation
Name of Supplemental Lender
6. CAPITAL TERM CERTIFICATE PURCHASES (CFC Loan only) . . . . . . . . . . . .
7. SUPPLEMENTAL LOAN REQUESTED FOR FACILITIES. . . . . . . . . . . . . . . . . . . . . . . . .
(SEE RUS Bulletin 20-14)*
8. 100% SUPPLEMENTAL LOANS

%
%

%
%

* Identify in section A by budget purpose and separate subtotals.

SECTION C. CERTIFICATION

We, the undersigned, certify that:
1. Upon completion of the electrical facilities contained herein and any others uncompleted at this time but for which
financing is available, the system will be capable of adequately and dependably serving the projected load for the
loan period as contained in our current RUS approved Power Requirement Study and Construction Work Plan.
2. Negotiations have been or will be initiated with our power supplier, where necessary, to obtain new delivery points
and/or additional capacity at existing ones to adequately supply the projected load upon which this loan application
is based.
3. The data contained herein and all supporting documents have, to the best of my knowledge, been prepared correctly
and in accordance with 7 CFR 1710.401(a)(3)
Date

Signature of Borrower's Manager

Date

Signature of Borrower's President
David Lewis
Corporate Name of Borrower
GFR Initials

RUS Form 740c

(Rev. 10-01, V2, 2/5/04)

PAGE 4 OF 4 PAGES

Attachment to 740c
Borrower and Loan Designation

STATEMENT
Statement certifying that at least 90% of the Loan funds are for facilities with a useful life of
33 years or longer as required by 7 CFR 1710.115.

To facilitate the determination of the final maturity for this RUS Loan,
does hereby certify that:
At least 90% of the Loan funds requested as part of this loan application
and included on the RUS Form 740c (Cost Estimates and Loan Budget
for Electric Borrowers) are for facilities with an anticipated useful life
of 33 years or longer.
Less than 90% of the Loan funds requested as part of this loan application
and included on the RUS Form 740c (Cost Estimates and Loan Budget
for Electric Borrowers) are for facilities with an anticipated useful life of 33
years or longer. A schedule has been attached to this statement listing the
facilities with an anticipated useful life of less than 33 years, the anticipated
useful life of those facilities and the associated cost estimates (see attached).

Date

Title:

Useful Life Certification

INSTRUCTIONS FOR PREPARATION OF RUS FORM 740c
(See 7 CFR 1710, Subpart I, for Additional Information)
If additional space is required for any item, attach continuation sheets as needed.
Prepare an original and one copy of this form for submission to RUS as part of the loan application.
Insert the borrower and loan designation, the date used for preparation of cost estimates, and the number
of years the application is to cover.
SECTION A. COST ESTIMATES
The borrower should insert cost estimates only in the column titled "Borrower's Cost Estimates." RUS will
complete the column headed "RUS Use Only" when the borrower's cost estimate varies from RUS's.
Estimates should be obtained from a current construction Work Plan which is in agreement with an approved
long-range engineering study.
All estimates shown hereon should include material, labor and overhead costs, less any contributions in
aid of construction (i.e., NET COST).
Where reimbursement of general funds for completed construction is requested, insert the amount under the
appropriate budget purpose. On a separate sheet, itemize and describe the general fund expenditures to
be reimbursed, showing applicable budget purpose and amount per item.
1.

DISTRIBUTION:
a.

NEW LINE:
Insert number of consumers, number of miles, and total estimated cost including R/W clearing.
(Estimates for underground and overhead construction should be shown separately.) Do not duplicate
costs shown separately in items 1.f. and 1.g. Indicate the number of total new consumers to be
served and total of new miles to be constructed. (Miles of secondary, services and underbuild
should be included in the pole line miles shown.)

b.

NEW TIE-LINES:
Show location by map reference and substation designation, line voltage (kV), conductor size and
phasing, miles and estimated cost of each new tie-line. Also show whether the construction is
overhead or underground. If there is insufficient space to itemize each tie-line, insert the
total miles and estimated cost and give a description of each tie-line on an attached sheet.

c.

CONVERSION AND LINE CHANGES:
Show location by map reference and substation designation, indicate old and new conductor size and
phasing, miles, and estimated cost. Also show whether the construction is overhead or underground. If there is insufficient space to itemize each conversion and line change, insert the
total estimated cost and give a detailed description of each conversion and line change on an
attached sheet.

d.

NEW SUBSTATIONS, SWITCHING STATIONS, METERING POINTS, ETC.:
For each new station, insert the station designation shown in the Construction Work Plan, the kVA
rating, high and low side voltage classification, and estimated cost. (If procurement of station
sites is to be financed with loan funds, the cost should be included in the estimate for the
station.)

e. SUBSTATION, SWITCHING STATION AND METERING POINT CHANGES:
Identify each station by the designation shown in the Construction Work Plan and describe the
changes to be made and the estimated cost.
f.

MISCELLANEOUS DISTRIBUTION EQUIPMENT:
(1)

Show the number and the total estimated installed cost of all transformers and meters used
to serve new and existing consumers in this loan. Furnish separate estimates for underground and overhead construction.

(2)

Insert the number of sets of service wires and estimated cost in this loan application to
increase the capacity of existing consumers.

(3) - (5)
Insert the estimated cost of new sectionalizing equipment, line voltage regulators and
capacitors.
(6)

Insert the net cost of ordinary replacements (installed cost of new facility less original
cost of facility being replaced).

(7) - (10)
Use these lines to show the estimated cost of other distribution equipment not listed above.
g. OTHER DISTRIBUTION ITEMS:
(1)

Insert estimated cost of engineering fees (include details in the Construction Work Plan).
Only those engineering costs associated with distribution facilities and not included in the
cost estimates for items 1.a. through 1.f. should be included (i.e., long-range plans,
sectionalizing studies, etc.).

(2)

Insert the estimated cost of security lights.

(3) and (4)
Use these lines to show purpose, type, and estimated cost of other distribution items not
listed above.
TOTAL DISTRIBUTION: Enter the sum of subtotals 1.a. through 1.g. above.
2. TRANSMISSION:
a.

NEW LINE:
For each new line, insert the line designation (i.e., Westover to Shady Grove) as shown in the
Construction Work Plan, line voltage (kV), wire size, miles, and total estimated cost including
R/W clearing.

b.

NEW SUBSTATIONS, SWITCHING STATIONS, ETC.:
For each new station, insert the station designation as shown in the Construction Work Plan, kVA
rating, high and low side voltage classification, and estimated cost. (New stations under this
item should not be mistaken for new stations under Item 1 - Distribution. Any station not used
for distribution purposes shall be considered a transmission station, except for the generating
plant step-up substation which should be shown under Item 3.) If procurement of station sites
is to be financed with loan funds, this cost should be included in the estimate for the station.

c.

LINE AND STATION CHANGES:
For each conversion or line change, insert the line or station designation as shown in the
Construction Work Plan, a description of changes, and the total estimated cost.

d.

OTHER TRANSMISSION ITEMS:
(1)

Insert all cost anticipated for the purchase, and/or procurement of transmission line rightof-way except attorney fees and clearing, which should be shown under Items 6 and 2.a.,
respectively.

(2)

Insert the estimated cost of engineering fees (including details in the Construction Work
Plan). Only those engineering costs associated with transmission projects, and not already
included in the line and station cost estimates of item 2.a., b. and c., should be shown
(i.e., environmental reports, system studies, etc.).

(3) - (6)
Use these lines to show purpose, type, and estimated cost of transmission items not listed
above (i.e., transmission-related communications or control equipment, etc.).
TOTAL TRANSMISSION: Enter the sum of subtotals 2.a through 2.d. above.
3.

GENERATION (Including step-up station at plant):
a.

Insert the kind of fuel to be used in the plant, the nameplate rating (kW), and the total estimated cost. (A detailed breakdown of each proposed generation project should be attached to
this form, indicating the various items for which financing is requested. This breakdown should
be in the form of, or supported by, an engineer's report.)

b.

Use this line to show the estimated cost of generating facilities not included above.

TOTAL GENERATION: Enter the sum of items 3.a. and 3.b. above.
4.

HEADQUARTERS FACILITIES
a.

NEW OR ADDITIONAL FACILITIES:
Insert total estimated cost. Complete and attach an original and one copy of RUS Form 740g for
each project. (See instructions on reverse of RUS form 740g.)

b.

Use this line to show the estimated cost of headquarters facilities not included above.

TOTAL HEADQUARTERS FACILITIES: Enter the total of items 4.a. and 4.b. above.
5.

ACQUISITIONS:
a.

Insert the number of consumers, miles or line to be acquired, and the total cost of the proposed
acquisition. On a separate sheet, itemize: (1) the approximate purchase price of the acquisition;
(Give breakdown and apportioned purchase price of distribution, transmission and/or generating
plant facilities.) (2) a description and estimated costs of rehabilitation and integration;
(3) Engineering fees.

b.

Use this line to show the kinds and estimated cost of facilities to be acquired not included
above.

TOTAL ACQUISITIONS: Enter the total of items 5.a. and 5.b. above.
6.

ALL OTHER:
a. - e.
These lines are to be used for costs not listed above, such as legal fees, general plant equipment, etc. (Funds for general plant equipment generally will only be approved in initial loans.)
All requests for funds under this budget purpose should be accompanied by a breakdown and
justification for the requested funds.

TOTAL ALL OTHER: Enter the sum of items 6.a. through 6.d. above.
SECTION B. SUMMARY OF AMOUNTS AND SOURCES OF FINANCING
Note: Items 1 and 3 below may require adjustment before entering in final form (see "ADJUSTMENT" below).
All other items may be entered in final form.
1.

GRAND TOTAL - ALL COSTS:

2.

FUNDS AND MATERIALS AVAILABLE FOR FACILITIES:

Insert the total of Budget Purposes 1 through 6 above.
a.

LOAN FUNDS:
Insert the total amount of funds available from prior loans, as of the "Cut-Off" date, which are
not required for original loan purposes. Attach RUS Form 602 and an explanation if necessary.

b.

MATERIALS AND SPECIAL EQUIPMENT:
Insert the dollar value of materials and special equipment on hand which will be used for the
proposed construction. Attach information identifying, by budget purpose, the kinds of materials
or special equipment being applied to this loan and their dollar value. Do not include materials
and special equipment needed for normal operation of the system.

c.

GENERAL FUNDS:
Insert the total amount of general funds available for construction of the facilities listed
(i.e., general funds now available plus general funds to become available during the loan period.)
For existing general funds, attach a statement indicating the need for any adjusted general funds
in excess of RUS guidelines which will not be used for the proposed
construction (attach RUS Form 740a).

d.

TOTAL AVAILABLE FUNDS FOR FACILITIES:
Insert the total of Items 2.a., b. and c. of this section and enter as Item 2.d.

3.

NEW FINANCING REQUESTED FOR FACILITIES:
Subtract Item 2.d. from Item 1 and enter as Item 3.

4.

RUS LOAN REQUESTED FOR FACILITIES:
Insert the percentage of plant financing to be obtained from RUS (see 7 CFR 1710.110). Multiply
Item 3 by the decimal equivalent of this percentage; round to the nearest thousand and enter as
Item 4.

5.

TOTAL SUPPLEMENTAL LOAN REQUESTED:
Insert the percentage of plant financing to be obtained from a supplemental lender and the lender's
corporate name. Multiply Item 3 by the decimal equivalent of this percentage and round to the
nearest thousand.
Note: Where CFC is the supplemental lender, the result of the above calculation should be divided
by 0.95 before rounding to the nearest thousand.

6.

CAPITAL TERM CERTIFICATE PURCHASES (CFC LOANS ONLY):
Multiply Item 5 by 0.05 and enter as Item 6. For loans made by supplemental lenders other than CFC,
enter zero.

7.

SUPPLEMENTAL LOAN REQUESTED FOR FACILITIES:
Subtract Item 6 from Item 5 and enter as Item 7.

ADJUSTMENT:

After the above calculations have been completed, adjust Item 3 such that it equals Item 4
plus Item 7. Next adjust Item 1 and a cost estimate in Section A such that Item 2 plus
Item 3 equals Item 1.

SECTION C. CERTIFICATION
Manager and board president must sign and date form (original and one copy). Insert borrower's corporate
name.