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Hurricane_Ike_App

VIEWS: 3 PAGES: 6

									                    STATE OF TEXAS
   APPLICATION FOR QUALIFIED HURRICANE IKE DISASTER
                AREA BOND DESIGNATION
This application is required pursuant to the Proclamation of the Governor of the State of Texas
issued on December 7, 2009, providing for administration of the qualified Hurricane Ike disaster
area bond program and establishing priorities for the designation of such bonds.


**APPLICATION FEE: $1,000
   Fees should be sent to: Comptroller of Public Accounts
   Item Processing – Lock Box Section
   208 E. 10th Street
   Austin, TX 78701

TO: Program Administrator
  Texas Bond Review Board
  300 W. 15th Street, #409
  Austin, Texas 78701-1649

DUPLICATE: Director, Division of Disaster Recovery and Renewal
  Office of the Governor
  P.O. Box 12428       Hand delivery: 1100 San Jacinto Avenue
  Austin, Texas 78711                 Austin, TX 78701


Name of Project

Parties (only include applicable items)
1. Issuer

  Issuer Name:
  Principal
  Contact:
  Address:
  Telephone:
  E-mail:
  Issuer’s
  Authorizing State
  Statute:


   1 |   Ike Bond Application
2. Obligor/Project User

     Name:
     Principal
     Contact:
     Address:
     Telephone:
     E-mail:
     Business
     Structure:
     State and Date of
     Incorporation/
     Creation:

3.    Issuer’s Sponsoring Governmental Unit

     Name:
     Principal
     Contact:
     Address:
     Telephone:
     E-mail:

4. Bond Counsel

     Name:
     Principal
     Contact:
     Address:
     Telephone:
     E-mail:

5. Underwriter

     Name:
     Principal
     Contact:
     Address:
     Telephone:
     E-mail:

6. Financial Advisor

     Name:
     Principal
     Contact:
     Address:
     Telephone:
     E-mail:
      2 |   Ike Bond Application
7. Authorized Representative of Issuer

     Name:
     Principal
     Contact:
     Address:
     Telephone:
     E-mail:

8.    Others: Please indicate any others you would like to receive emailed requests for
     further information or notifications regarding reservations.

     NAME                        E-MAIL




Bond Qualification Details

9. Designation is hereby requested in the principal amount of $


     In the event that the State is unable to grant a designation for the full amount requested, applicant
     will not accept a designation less than $

10. Qualified Project Type

           Nonresidential Real Property
           Public Utility Property
           Qualified Residential Rental Project
           Qualified Mortgage Loans for single family housing for homeowners who suffered home
            damage in Hurricane Ike

11. Location of Project or single family homes (include county and zip codes)




Project Details
Complete the questions under this heading for projects other than qualified mortgage loans.

12. Did the entity that will own or use the Project suffer a loss in Hurricane Ike?

                  Yes
                  No



     3 |   Ike Bond Application
   If not, will the entity that will own or use the Project be carrying on a trade or business replacing
   a trade or business with respect to which another person suffered a loss attributable to Hurricane
   Ike?
                Yes
                No

13. Briefly describe the Project, the extent to which it involves repair or replacement of property
    damaged by Hurricane Ike, and the type of business of Obligor/User.




14. Estimated project costs broken down by:

  Land
  Building
  Equipment
  Interest during Construction
  Costs of Issuance and net
  Original Issue Discount
  Other
  TOTAL
  Less other sources of funds
  Bond Amount*
   *The total bond amount should equal the amount in Question #9.

15. Anticipated total payroll resulting from or expected to be saved by Project $

16. Unemployment from the Texas Workforce Commission from the most recent month of the
    county (ies) or Metropolitan Statistical Area (MSA) in which the Project is located?


17. Number of expected full-time equivalent jobs to be created?

   Number of expected full-time construction/temporary jobs?


18. Average salary of permanent jobs created

19. Does the Project development plan provide jobs that enhance opportunities for Texas in
    technology, advanced manufacturing, environmental processing or other areas that provide for a
    specialized workforce? If so, how?




20. Is a workforce training program a component of the Project’s development plan?
   4 | Ike Bond Application
21. In what other way would financing of the Project with tax-exempt bonds further the public
    interest?




22. Key Dates

                                                   DATE (M/D/Y)
     When designation is required
     Estimated completion of plans and specs
     Estimated commencement of construction
     Estimated completion of construction
     Estimated date project to be placed in
     service


Project Financing

23. Expected closing date

24. Has this Project received a previous reservation for tax-exempt financing?

          Yes
          No

   Is this Project eligible for any other type of tax-exempt financing?

          Yes
          No

   If yes, please explain why this Project should receive Ike Bond allocation as opposed to pursuing
   other types of tax-exempt financing.




*Use continuation sheet to provide additional information.




Application Attachments
   5 |   Ike Bond Application
25.     Certification Regarding Fees & Check Copy, on the form prescribed by the Board
        Inducement Resolution or Preliminary Action
        Legal Counsel Opinion (Qualified Hurricane Ike Bond and authorization under state law)
        Issuer's Certified Articles of Incorporation and Bylaws
        Issuer's Certificate of Continued Existence
        Obligor’s/User's Articles of Incorporation and Bylaws
        Obligor’s/User’s Certificate of Continued Existence (except for qualified mortgage loans)
        Obligor’s/User's Certificate of Good Standing (including partners or parents) (except for
        qualified mortgage loans)
        Estimated Sources and Uses of Funds



Project Certification
26. Certification: The information contained in this Application for qualified Hurricane Ike disaster
    area bond designation and related attachments is, to the best of our knowledge, true and accurate.

                                                          ___________________________________
                                                                               (Name of Issuer)


                                                          ___________________________________
                                                                                   (Signature)

                                                               _____
                                                                                        (Name/Title)

                                                                                         __________
                                                                                              (Date)




      6 |   Ike Bond Application

								
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