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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
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