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Capital Asset Financing Program Application

Please complete the following online application or you may complete the Capital Asset Financing Application (PDF: 286KB) and FAX.

*Required Field  
Jurisdiction Name*

County*

Government Type*
County   City   Village   Township
Other

Contact Name*
Title*
Phone*
FAX*
Address*
City*                                                        ZIP Code*
   Ohio 
Contact E-Mail*
 

General Project Description*

 
When are funds needed (date estimate)?*
If land is being purchased, how will the land be used?
Economic Development   Governmental Use   Other 
 
Itemized Project Cost*
Dates of next four Board/Council Meetings*

 
Who is your bond counsel?
 
Has money been spent on the project, which is to be reimbursed?*  Yes   No
 
Do you currently have debt outstanding for this project?*   Yes   No
 
If Yes,
Short-term (Notes)   Long-term (Bonds)
 
Term of financing for project
(in years 1-25)*

Source of payment for project
General Fund     Enterprise Fund
Dedicated Levy  Other
 
How did you hear about the program?
Other information you would like to share




 

 

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