ALASKA MUNICIPAL BOND BANK AUTHORITY

From: Subject: ALASKA MUNICIPAL BOND BANK AUTHORITY Date: Tue, 19 Aug 2008 10:31:54 -0800 MIME-Version: 1.0 Content-Type: text/html; charset="Windows-1252" Content-Transfer-Encoding: quoted-printable Content-Location: http://www.revenue.state.ak.us/treasury/programs/documentviewer/viewer.aspx?191 X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2900.5579 ALASKA MUNICIPAL BOND BANK AUTHORITY

Alaska Municipal Bond
Bank = Authority

APPLICATION FOR=20 REVENUE BONDS

A request for the Alaska Municipal Bond Bank Authority = (the Bond=20 Bank) to purchase a revenue bond issue of the applicant. This isn=92t = considered a=20 commitment on the part of the applicant or the Bond Bank. Additional = Information=20 may be requested before a final recommendation.

GENERAL INFORMATION

Name of Governmental Unit (Applicant):
Type of government (home rule, first class, authority, = etc)
Contact person for government:

Name:
Title:=20
Address:
Phone: =
Fax:
E-Mail:
Applicant=92s Bond Counsel:

Name:
Title:
Address:
Phone: =
Fax:=20
E-Mail:
If applicable Applicant=92s Financial Advisor or=20 Underwriter:

Name:
Title:
Address:
Phone: =
Fax:=20
E-Mail:

II. ISSUE INFORMATION

Total amount of bond purchase request: $
If a bond election is required provide a copy of the = bond=20 election ordinance.=20
= or

If a bond election has been held, provide the votes = for and=20 against the issue(s): ____Yes ____No. Percent of the registered voters = casting=20 ballots: ____%.
Describe the security for the bonds

If the bonds will be issued on a parity with prior = bonds,=20 provide a copy of the prior bonds=92 Bond Ordinance.

If the Bond Ordinance hasn=92t been adopted, outline = the proposed=20 structure (including lien position of bondholders, flow of funds, rate = covenants, debt service reserve fund, and any provisions for the = issuance of=20 future parity bonds).
Will you need interim financing?

If applicable = provide=20 interim financing information:

Amount	Maturity	Rate	Lender

Provide information that would impact the Bond = Bank=92s ability to=20 retire the interim financing with permanent = financing.

Describe project to be financed, including the = information=20 requested in 1 =96 6. If this information is available in a project = feasibility=20 study you may reference and attach it.

Are engineering and specifications completed?

If not, when are they projected for = completion?

Have construction bids been awarded?

Are there additional state or local approvals = required?

Describe timing/scheduling plan.

What is the projected completion=20 date?

Provide an attachment detailing the schedule of rates = and=20 charges currently in effect to support this project. If a rate = increase is=20 planned, provide details on the amount of the increase and when it is = expected=20 to occur. Provide rate ordinance(s) currently in effect. If applicable = provide=20 any preferential use agreements or other contract with major users. = (If this=20 information is available in a feasibility study please so note and = attach the=20 study).
Sources and uses of funds.

Sources of Funds		Uses of = Funds
Bonds (this = application)	$_________	Construction	$_________
Federal Funds*	$_________	Engineering	$_________
State Funds*	$_________	Contingency	$_________
Applicant=92s Funds	$_________	Cost of Issuance	$_________
Other (specify)	$_________	Other	$_________
TOTAL	$_________	TOTAL	$_________

* If federal or state funds are involved provide a = complete=20 description of the status and uses of these funds.

1. Indicate which costs, including = costs of=20 issuance, would be paid for with AMBBA bond proceeds. =

CREDIT INFORMATION

Provide the loan agreements or copies of the cover = page of=20 official statements for your government=92s outstanding bonds. =
Has your government met its debt service coverage = requirements=20 on outstanding revenue bonds? Yes____ No____
If no, attach an = explanation.=20
Has your government ever defaulted on any of its = general=20 obligation bonds, revenue bonds, or special assessment = bonds?
Yes____=20 No____
Has your government ever been unable to meet debt service = coverage=20 or other bond covenants?
Yes____ No____
If you answered yes to = either=20 of these questions, provide an explanation.
Attach your government=92s forecast on amount, timing, = and purpose=20 of future general obligation or revenue bond financing. If this = information is=20 available in your long-term plan provide a copy.
Give a brief summary of your local economy. Include = major=20 industries and their projections. Describe any positive or negative = trends or=20 factors. (If this information is available in an annual report, = provide a copy=20 with your application)

List the five largest employers in your = area:

Name	Type of Business	Number of Employees
____________________	_________________________	______________
____________________	_________________________	______________
____________________	_________________________	______________
____________________	_________________________	______________
____________________	_________________________	______________

Are any of these employers expected to make changes in = work=20 force or operations? ______ Yes ______ No. If yes provide an = explanation.

Please provide population figures for your community = for the=20 last five years. Indicate the source of your figures.
Provide your audited financial statements from the = last two=20 years (provide your unaudited statement if audit hasn=92t been=20 performed).
Provide your current year=92s budget.
Provide your capital improvement plan.
Provide any other financial or economic information = that will=20 assist evaluation of your application.

IV. LEGAL INFORMATION

Provide a certificate of your legal counsel that = establishes=20 there is no litigation pending or threatened in any court in any=20 way:

affecting the corporate existence of your = government, or the=20 titles of officers to their respective offices, or seeking to = restrain or=20 enjoin the issuance, sale or delivery of the bonds, or the right of = the=20 applicant to levy and collect taxes pledged or to be pledged to pay = the=20 principal of and interest on the bonds, or the pledge thereof, or in = any way=20 contesting or affecting the validity or enforceability of the bonds = or the=20 loan agreement between the applicant and the Bond Bank, or = contesting the=20 power of your government or your authority with respect to the = bonds;=20 or

against your government or involving any of the = property or=20 assets of or under the control of your government, which , whether=20 individually or in the aggregate involves the possibility of any = judgement=20 or uninsured liability which may result in any material change in = the=20 revenues properties, or assets, or in the condition, financial or = otherwise,=20 of your government.

An opinion or certificate to the same effect, dated = the date of=20 the closing, shall be delivered to the Bond Bank on the date of=20 closing.
If any such litigation is pending or threatened, = attach a=20 description of the litigation, including caption and case number, = description=20 of the relief requested as it pertains to the matters described, and = the=20 procedural status of the litigation.

The facts and representations in this application and = all=20 attachments are true and accurate in all respects and no material facts = are=20 omitted to the best of my knowledge.

____________________________
Name (print)

____________________________
Title

____________________________
Signature

____________________________
Date of = Application

Submit completed applications to: =

Alaska Municipal Bond = Bank=20 Authority
P.O. Box 110405
Juneau, AK 99801

Phone: = (907)=20 465-2388
Fax: (907) 465-2902

E-Mail: AMBBA@revenue.state.ak.us=20

Submit completed applications to:=20 =

Return=20 to Top	Treasury = Home=20 Page	State = of Alaska=20 Home = Page

Alaska Municipal BondBank = Authority

Alaska Municipal Bond
Bank = Authority