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....... .......... ........ <br /> PART IV <br /> APPLICATION FOR <br /> 4 <br /> TAX-EXEMPT FINANCING <br /> (Commercial,Industrial,Health Care or Other Non-Housing Projects) <br /> 1. APPLICANT <br /> a. Business Name: <br /> b. Business Address: <br /> C. Business Form(corporation,partnership,sole proprietorship,etc,)-. <br /> d. Authorized Representative: <br /> 0. Principal contact person and telephone number: <br /> 2. PURPOSE OF REQUESTED FINANCING: <br /> a. New Facility(describe): <br /> b. Expansion(describe); <br /> C. Refunding(attach explanatory letter) <br /> 3. GIVE BRIEF DESCRIPTION OF NATURE OF BUSINESS, PRINCIPAL PRODUCTS, <br /> ETC.: <br /> 4. ESTIMATED PROJECT COSTS: (Not required for refunding) <br /> Land <br /> Building <br /> Equipment <br /> Architectural,Engineering <br /> Costs of Issuance <br /> Capitalized Interest, <br /> including discount <br /> Other <br /> Total Financing Requested <br /> 5. AMOUNT OF FINANCING REQUESTED: C_210 ofproject costs) <br /> 7 <br />