Application for

Long Term Financing

Interim and Variable Rate Financing

Our streamlined application makes it very easy and straight forward to apply for financing. We will review your application promptly and contact you to ensure a smooth financing process. We look forward to working with you!

Application for (check one or both):

•  Long Term Financing (Apply at any time) Interim and Variable Rate Financing (Apply at any time)

Applicant Information

Dates governing body meets within the 30 days preceding the date when funds will be required:

Check One:

•  We prefer that VML/VACo Finance provide financial advisory services (no additional costs). We have engaged a financial advisor for this financing.
• Name:

Are there any incidents that have occurred since the date of your last financial statements, including pending or potential litigation, that could significantly affect your revenues or overall financial condition?

•  Yes No

If “yes,” please describe:

Section II. Project Information

Name of Project(s):

Total amount of funds requested:

• $

Does this amount include costs of issuance? (if no, the loan size will be increased to cover costs)

•  Yes No

Please indicate if you will require an...

•  Interest-only (no principal) or Capitalized-interest (no principal or interest) loan repayment structure during the construction period.

Length of time you expect to capitalize or pay interest-only:

Desired length (term) of loan:

Other funding sources, if any:

• (specify amount, source, and when funds are expected to be received)

Does amount include refinancing of an existing loan?

•  Yes No

Provide actual or projected dates for the following project activities, where applicable.

Section III. Loan Security

Indicate the sources of funds to be pledged for the repayment of the loan.

•  General Obligation Pledge of Local Government  Lease-backed Pledge of Local Government

Questions applicable to General Obligation and Lease-backed Pledges:

 Revenue Pledge

Is the system in compliance with all environmental standards?

•  Yes   No
• If not, do you have a plan of compliance?
•  Yes   No

 Other Pledge

• Describe:

Section IV. Attachment Checklist

• Please provide a copy of each of the following documents, if applicable. You may mail hard copies of the requested documents to us at the address found at the bottom of this website, or for your convenience, you may attach up to three files in the space provided below. To send additional files electronically, please send them via a separate email to

  You may also site a website address or reference pages in your financial statements where this information may be found. Please enter comments in the space provided at the bottom of this form, as needed.

Document to be Submitted (required for all loans):

•  Project Description  Two paper copies OR electronic version of your audited financial statements for the last three years and latest unaudited annual financial statement, if any.  Summary of current year-to-date operating budget Most recent official statement (bond offering prospectus), if applicable  A listing of all outstanding debt, including original principal amount, outstanding principal, issue date, final maturity date, interest rate, annual debt service, and form of security pledge (if not included in financial statements)

General Obligation and Lease-Backed Pledges only:

•  A listing any actual or planned tax rate changes since the most recent financial statement that will impact general revenues.  A listing of the five largest taxpayers and amount of real estate taxes generated by each.  Total tax collections percentages for each of the three previous years.

Revenue Pledges only:

•  A listing of the five largest customers and the amount of revenue generated by each.  A yearly projection of gross revenues and expenses, including debt service, to cover a period of five years. Provide the basis for projections, such as number of ratepayers/taxpayers, rates/tax rates, etc.

Refinancings only:

•  Loan agreements for any loans being refunded.

Interim Financing only:

•  Your expected monthly draw schedule in the event you will not be drawing 100% of your loan proceeds at closing.

Attach up to three files here (maximum size 5MB each):

Additional Comments

Feel free to add any additional information here

Send a copy to yourself!

• Enter your email:

Are you finished with this application?

If you check "Yes", a copy of this application will be submitted to VML/VACo Finance and you will also receive a copy. If you check "No", you will receive a copy by email which you may complete and send to VML/VACo Finance when you are ready (simply press “Reply,” make changes, and send). Our email address is . Thank you!

•  Yes   No