Form RD 0440-11 RD 0440-11 Estimate of Funds Needed for 30-day Period Commencing

7 CFR 1942-A, Community Facility Loans

0440-11

7 CFR 1942-A, Community Facility Loans

OMB: 0575-0015

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ESTIMATE OF FUNDS NEEDED
FOR
30-Day Period Commencing

USDA-RD
Form RD 440-11
(Rev.10-00)

FORM APPROVED
OMB NO. 0575-0015

Name of Borrower

Items

Amount of Funds

Development .....................................................................................................

$

Contract or Job No.
Contract or Job No.
Contract or Job No.
Land and Rights-of-Way ...................................................................................
Legal Services ...................................................................................................
Engineering Fees ..............................................................................................
Interest ..............................................................................................................
Equipment ........................................................................................................
Contingencies ...................................................................................................
Refinancing ......................................................................................................
Initial O & M ....................................................................................................
Other ................................................................................................................
TOTAL ..................................................................................................

0.00

$

Prepared by
Name of Borrower

By
Date
Approved by
Date

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person in not required to respond to, a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0575-0015. The time
required to complete this information collection is estimated to average 1 hour per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

Position 2

RD 440-11 (Rev. 10-00)


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File TitleW:RPMDREGSForms$0-11.PDF
Authorjjacobs
File Modified2004-12-08
File Created2000-12-18

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