Airport/Solid Waste/Exempt Facility Bond Application

Airport/Solid Waste/Exempt Facility Bond Application
Applicant Information
Name of Applicant:
EIN or TIN:
Type of Business:
Primary Contact
Full Name:

First Name Last Name
Title:
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number:

Area Code Phone Number
E-mail:
Name of Borrowing Entity:
Type of Entity:
Date Organized:

Month Day Year
State of Organization:
Will you be applying for State Volume Cap?

Yes No
Primary Billing Contact
Organization:
Title:
Full Name:

First Name Last Name
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number:

Area Code Phone Number
E-mail:

Finance Team Information
Bond Counsel
Firm Name:
Primary Contact:

First Name Last Name
Title:
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number:

Area Code Phone Number
E-mail:
Underwriter/Bank/Bond Purchaser
Firm Name:
Primary Contact:

First Name Last Name
Title:
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number:

Area Code Phone Number
E-mail:
Financial Advisor
Firm Name:
Primary Contact:

First Name Last Name
Title:
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number:

Area Code Phone Number
E-mail:
Trustee
Firm Name:
Primary Contact:

First Name Last Name
Title:
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number:

Area Code Phone Number
E-mail:

Application Attachments
Upon submission of your application, please send a nonrefundable $5,000 issuance fee deposit* made payable to CSCDA to 1700 North Broadway, Suite 405, Walnut Creek, CA 94596.

*Applied to issuance fee collected upon bond issuance.

After submission of your application, please forward the following Application Attachments via email to a CSCDA Staff or you may upload the attachment files below.

Attachment A: Detailed Applicant Background

Attachment B: Description of Project and Each Facility to be Financed or Refinanced

Attachment C: Sumary of Project's Public Benefits
Upload Attachment A:
Upload Attachment B:
Upload Attachment C:
Application Prepared By:
Phone Number:

Area Code Phone Number
Should be Empty: