| Internal Revenue Service |
| Washington, D.C. |
| Dear Sir or Madam: |
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The following constitutes the application
(“Application”) of (Name) (the “Applicant”) for allocation
of clean renewable energy bond (“CREB”) volume cap under Section
54(f) of the Internal Revenue Code (the “Code”) (unless otherwise
noted, section references herein are to the Code) to finance the project described
below. (If a single Application is used to request CREB volume
cap for more than one project, then all of the required information in the
Application must be provided separately for each project.)
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1. |
Name of Applicant/Issuer |
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Street Address |
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City State Zip |
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Telephone Number Fax Number |
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2. |
Status of Issuer - (Select
as appropriate) |
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The Applicant/Issuer is a “qualified
issuer ” under section 54(j)(4) because it is—
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(i) |
a “clean renewable energy lender”
that is a cooperative owned by, or has outstanding loans to, 100 or more cooperative
electrical companies and was in existence on February 1, 2002 or is an affiliate
that is owned by such a lender, as demonstrated by the attached documents
included as Exhibit D.
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(ii) |
a “cooperative electric company”
that is a mutual or cooperative electric company described in section 501(c)(12)
or section 1381(a)(2)(C), as demonstrated by the attached documents included
as Exhibit D, including a copy of the determination letter previously obtained
from the IRS, if any (or other relevant documents).
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(iii) |
a “governmental body” that
is a State, territory, possession of the United States, District of Columbia,
Indian tribal government, or any political subdivision of the foregoing, as
demonstrated by the attached documents included as Exhibit D. (Supporting
documents are not required to be attached for governmental bodies that are
general purpose governmental entities with substantial taxing, eminent domain, and police powers such as generally a county, city,
municipality, township, or borough.) |
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3. |
Name of Borrower |
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Street Address |
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City State Zip |
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Telephone Number Fax Number |
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Status of Borrower - (Select
as appropriate) The Borrower is a “qualified borrower”
under section 54(j)(5) because it is—
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(i) |
a qualified borrower under section 54(j)(5)(A)
that is a mutual or cooperative electric company under section 501(c)(12)
or section 1381(a)(2)(C), as demonstrated by the attached documents included
as Exhibit D, including a copy of the determination letter previously obtained
from the IRS, if any (or other relevant documents).
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(ii) |
a qualified borrower under section 54(j)(5)(B)
that is a “governmental body” under section 54(j)(3)(B) and is
a State, territory, possession of the United States, District of Columbia,
Indian tribal government, or any political subdivision of the foregoing, as
demonstrated by the attached documents included as Exhibit D. (Supporting
documents are not required to be attached for governmental bodies that are
general purpose governmental entities with substantial taxing, eminent domain, and police powers such as generally a county, city,
municipality, township, or borough.) |
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5. |
Name of Project. |
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Detailed Description
of Project. A reasonably detailed description of the project (the
“Project”) is set forth below or in attached Exhibit A, including
reasonably expected costs of components, such as land, site prep, equipment,
installation, other dedicated facilities such as transmission, and capacity:
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Qualified Project.
The Project is a “qualified project” within the meaning of section
54(d)(2)(A) of the Code, because it is a “qualified facility”
(as determined under section 45(d) of the Code without regard to section 45(d)(10)
and to any placed in service date) that is (select as appropriate)—
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(1) a wind facility - a facility using
wind to produce electricity;
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(2) a closed-loop biomass facility
- a facility using closed-loop biomass (as defined in section 45(c)) to produce
electricity or, if owned by the taxpayer prior to January 1, 2008, a
facility using closed-loop biomass to produce electricity which is modified
to use closed-loop biomass to co-fire with coal, with other biomass, or with
both, but only if the modification is approved under the Biomass Power for
Rural Development Programs or is part of a pilot project of the Commodity
Credit Corporation;
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(3) an open-loop biomass facility
- a facility using open-loop biomass (as defined in section 45(c)) to produce
electricity and in the case of a facility using agricultural livestock waste
nutrients, the nameplate capacity rating of which is not less than 150 kilowatts;
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(4) a geothermal or solar energy facility
- a facility using geothermal energy (as defined in section 45(c)) or solar
energy to produce electricity (not including a facility described in section 48(a)(3)
the basis of which is taken into account by the taxpayer for purposes of determining
the energy credit under section 48 of the Code);
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(5) a small irrigation power facility
- a facility using small irrigation power (as defined in section 45(c)) to
produce electricity;
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(6) a landfill gas facility - a facility
producing electricity from gas derived from the biodegradation of municipal
solid waste (as defined in section 45(c));
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(7) a trash combustion facility -
a facility that burns municipal solid waste (as defined in section 45(c))
to produce electricity;
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(8) a refined coal production facility
- a facility producing refined coal (as defined in section 45(c)); or
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(9) a qualified hydropower facility
- a facility engaged in qualified hydropower production (as defined in section
45).
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8. |
Construction Commencement
Date and Placed in Service Date. The Borrower begun or expects
to begin the construction, installation and equipping of the Project on .
The Borrower expects that the Project will be placed into service on or before
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9. |
Independent Engineer’s
Certificate:(If the Application is for more than one
Project, a separate certificate must be included for each Project.)
Attached as Exhibit B hereto is a certification by an independent, licensed
engineer to the effect that the Project will be a “qualified project”
within the meaning of section 54(d)(2)(A) and a “qualified facility”
within the meaning of section 45(d) of the Code (without regard to section
45(d)(10) of the Code and to any placed in service date) and that the project
is technically viable and will produce electricity.
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If the project is a qualified
hydropower facility — |
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a.
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producing incremental hydropower production,
then the engineering certificate also must state that the project consists
only of efficiency improvements or additions to capacity that produce additional
production as described in section 45(c)(8)(B) based on a methodology that
would meet Federal Energy Regulatory Commission (FERC) standards; or
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b.
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that is a nonhydroelectric dam under section
45(c)(8)(C), then the engineering certificate also must state that the facility,
when constructed, will meet FERC licensing requirements and other applicable
environmental, licensing and regulatory requirements.
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10. |
Location of the
Project: |
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Project address or physical location (do
not include postal box numbers or mailing address)
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City State Zip |
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County where Project is located |
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11. |
Individual to contact for
more information about the Project:
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Individual Name |
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Company Name |
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Street Address |
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City State Zip |
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Telephone Number |
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Fax Number |
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(Include as appropriate)
The contact person is not an authorized official or officer of the Issuer
and a properly executed Form 8821 is included with this Application that authorizes
the disclosure by the IRS of information that relates to this Application
and the Project(s) described above to the contact person.
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12. |
Regulatory Approvals.
Identify each regulatory body, the action that must be taken, status of any
pending action and the remaining timeframe required to obtain each required
approval such as a FERC approval, or siting permits. The plan of the Applicant
for obtaining such approvals is as follows: (or attach an Exhibit) |
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13. |
Plan of Financing.
Include a reasonably detailed description of the plan of financing for the
Project, including all reasonably expected sources and uses of financing and
other funds, the status of such financing, the anticipated date of bond issuance,
the sources of security and repayment for the bonds, the aggregate face amount
of bonds expected to be issued for the Project, and the issuer’s reasonably
expected schedule for spending proceeds of CREBs. Attached as Exhibit C is
a plan of financing for the Project.
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14. |
Refinancings and
Reimbursements.(Include the following statements, as
applicable.) [(For refinancings, include the following statement.)
The Issuer intends to use the proceeds of CREBs to refinance qualified projects
in accordance with section 54(d)(2)(B).] [(For reimbursements, include
the following statement.) The Issuer intends to use the proceeds
of CREBs to reimburse costs of a qualified project in accordance with section
54(d)(2)(C).] (In addition, the Issuer must demonstrate that the
requirements of § 54(d)(2)(B) or (C), as applicable, will be met.) |
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15. |
Dollar Amount of
Allocation Requested for the Project. To finance the Project,
the Applicant hereby requests a CREB allocation in the amount of $.
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16. |
Prior Allocations
for the Project or Related Project.(If the Project
or any Related Project (as defined in section 3.f(iii) of this Notice) previously
received an allocation of CREBs volume cap, then this paragraph must include
a statement to that effect.) |
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[If applicable, include the
following statement: On (Insert date), the
Project previously received a CREBs volume cap allocation in the amount of
$. A copy of the IRS allocation letter for that allocation is attached.]
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[If applicable, include the
following statement: On (Insert date), a Related
Project previously received a CREBs volume cap allocation in the amount of
$. A copy of the IRS allocation letter for that allocation is attached.]
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17. |
Other allocation
requests for Related Projects to the Project. Included below are
descriptions of other projects that are Related Projects (as defined in paragraph
16 above) to the Project for which the applicant or other entities are applying
for a CREB volume cap allocation. With respect to an applicant on a Related
Project other than the Applicant, set forth below are the names, addresses,
contact persons, and telephone numbers for any such applicant.
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18. |
Pooled Financing
Bonds.(If the issuer expects to use the requested allocation
of CREB volume cap as part of a pooled financing bond within the meaning of
section 54(l)(2), then the issuer should include the undertaking noted below.) |
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[The Applicant Issuer expects to use the
requested allocation for CREBs volume cap in a pooled financing bond within
the meaning of section 54(i)(2), and the Issuer expressly agrees that it will
obtain a written loan commitment for all borrowers from the issue of CREBs
to which the requested allocation relates before the issue date of that issue.]
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I hereby certify that I am an authorized
officer or official of the Applicant and am duly authorized to execute legal
documents on behalf of the Applicant in connection with incurring debt and
that I am duly authorized to execute legal documents on behalf of the Application
in making this Application. Under penalties of perjury, I declare that (i)
I have knowledge of the relevant facts and circumstances relating to this
Application and the Project(s), (ii) I have examined this Application, and
(iii) to the best of my knowledge and belief, all of the facts contained in
this Application are true, correct and complete.
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By: |
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Name and Title: |
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Date: |