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Application for Bonds
A request for the Alaska Municipal Bond Bank Authority (the Bond Bank) to purchase a revenue or general oblibgation bond issue of the applicant. This isn’t considered a commitment on the part of the applicant or the Bond Bank. Additional information may be requested before a final recommendation.
I. General Information
[NAME] of Governmental Unit (Applicant):
B. Type of government (home rule, first class, authority, etc.):
C.  Contact Person for the government:
Name: |  |  |  |  | Title:
Address: |  |  |  |  | City: |  |  | State: | Zip:
Phone: |  |  | Fax: |  |  | E-mail:
D.  Applicant's Bond Counsel:
Name: |  |  |  |  | Title:
Address: |  |  |  |  | City: |  |  | State: | Zip:
Phone: |  |  | Fax: |  |  | E-mail:
[NAME] Financial Advisor or [NAME] (if applicable):
Name: |  |  |  |  | Title:
Address: |  |  |  |  | City: |  |  | State: | Zip:
Phone: |  |  | Fax: |  |  | E-mail:
II.  Issue Information
A.  Total amount of bond purchase request:
$
B.  Total term of requested loan: |  |  |  |  | years
C.  Preferred principal and interest payment months: |  |  |  |  |  |  | principal/interest |  | interest only
D.  If a bond election is required, provide a copy of the bond election ordinance and ballot proposition. q Attached
If a bond election has been held, provide the votes for and against the issue(s):
Yes: | No: | Percent of registered voters casting ballots:
 |  | %
Does the municipality intend to pledge any specific assets or taxes in addition to property tax?  Provide details of the additional security.           qAttached
E.  Will you need interim financing?
1.  If applicable, provide interim financing information:
Amount: |  | Maturity: |  |  | Rate: |  | Lender:
2.  Provide information that would impact the Bond Bank's ability to retire the interim financing with permanent financing.   q Attached
[NAME] project to be financed, including the information requesting in 1-6.  If this information is available in a project feasibility study, you may reference and attach it.
1.  Are engineering and specifications completed? |  |  |  |  | qYes | qNo
2.  If not, when are they projected for completion?
3.  Have construction bids been awarded? |  |  |  |  | qYes | qNo
4.  Are there additional state or local approvals required? |  |  |  |  |  | qYes | qNo
5.  Describe timing/scheduling plan:
6.  What is the projected completion date?
G.  Sources of uses of funds
Sources of Funds |  |  |  |  | Uses of Funds
Bonds (this application) |  |  | $ |  | Construction |  |  | $
Federal Funds* |  |  | $ |  | Engineering |  |  | $
State Funds* |  |  | $ |  | Contingency |  |  | $
Applicant's Funds |  |  | $ |  | Cost of Issuance |  |  | $
Other (specify) |  |  | $ |  | Other |  |  | $
Total: |  |  | $ |  | Total: |  |  | $
*If federal or state funds are involved, provide a compete description of the status and uses of these funds.
1.  Indicate which costs, including costs of issuance, would be paid for with AMBBA bond proceeds:
III.  Credit Information
A.  Provide the loan agreements or copies of the cover page of official statements for your government's outstanding bonds. qAttached
B.  Has your municipality entered into lease purchase agreements or other financing agreements supported by General Fund revenues? qYes  qNo
If yes,  provide amount of financed, purpose and principal amount outstanding. |  |  |  |  |  |  |  | $
C.  Are any of the above referenced issues supported by special assessments on benefited property, revenues, user fees or state reimbursement for school construction projects? qYes qNo
If yes, please attach details. qAttached
D.  Has your government ever failed to meet its debt service coverage requirements or other covenants on general obligation, revenue, or special assessment bonds? qYes qNo
If yes, please attach an explanation. qAttached
E.  Has your government ever defaulted on any of its general obligation, revenue, or special assessment bonds? qYes qNo
If yes, please attach an explanation. qAttached
[NAME] information on the amount, timing, and purpose of any bonds you have authorized by the voters, but not yet issued.   qAttached.
G.  Attach your government's forecast on amount, timing, and purpose of future general obligation or revenue bond financing.  If this information is available in your long-term plan, provide a copy. qAttached
H.  Give a brief summary of your local economy.  Include major industries and their projections.  [NAME] any positive or negative trends or factors.  (If this information is available in an annual report, provide a copy with your application.) qAttached
Are any of the community's major employers expected to make changes in work force or operations? qYes qNo
If yes, provide an explanations. qAttached
J.  Please provide population figures for your community for the last five years.  Indicate the source of your figures.
Year |  | Population |  |  |  | Source
[NAME] assessed valuation and property tax collected for all taxable property within your corporate limits for the past five years. qAttached
M.  Provide your audited financial statements from the last two years (provide your unaduited statement if audit hasn't been preformed). qAttached
[NAME] your current year's budget. qAttached
O.  Provide your capital improvement plan. qAttached
P.  Provide any other financial or economic information that will assist evaluation of your application. qAttached
IV.  Legal Information
A. Provide a certificate of your legal counsel that establishes there is no litigation pending or threatened in any court in any way:
1. affecting the corporate existence of your government, or the titles of officers to their respective offices, or seeking to restrain or enjoin the issuance, sale or delivery of the bonds, or the right of the applicant to levy and collect taxes pledged or to be pledged to pay the principal of and interest on the bonds, or the pledge thereof, or in any way contesting or affecting the validity or enforceability of the bonds or the loan agreement between the applicant and the Bond Bank, or contesting the power of your government or your authority with respect to the bonds; or
2. against your government or involving any of the property or assets of or under the control of your government, which , whether individually or in the aggregate involves the possibility of any judgement or uninsured liability which may result in any material change in the revenues properties, or assets, or in the condition, financial or otherwise, of your government.
B. An opinion or certificate to the same effect, dated the date of the closing, shall be delivered to the Bond Bank on the date of closing.
C. If any such litigation is pending or threatened, attach a description of the litigation, including caption and case number, description of the relief requested as it pertains to the matters described, and the procedural status of the litigation
The facts and representations in this application and all attachments are true and accurate in all respects and no material facts are omitted to the best of my knowledge
Name (print)
Title
Signature
Date of Application
Please return all applications to:
[NAME]
Alaska Municipal Bond Bank Authority
Department of Revenue
PO Box 110405
Juneau, AK 99811-0405
(907)465-2388 phone
(907)465-2389 fax
[EMAIL]