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MICICF <br /> MINNESOTA COMMUNITY <br /> CAPITAL FUND <br /> ADDITIONAL REQUIRED INFORMATION <br /> The information included in the attached "Exhibit A—Application Exhibits" shall also be provided to MCCF as <br /> part of this loan application <br /> I declare that the information provided on this application and the accompanying exhibits is true and complete to <br /> the best of my knowledge. I understand that the Minnesota Community Capital Fund has the right to verify this <br /> information and will be in contact with those individuals and institutions involved in the proposed project. I also <br /> understand that if this loan is approved it will be sold to the secondary marketplace. I authorize the Minnesota <br /> Community Capital Fund to share information contained in this application process with prospective purchasers <br /> in order to evaluate the feasibility of selling this loan. <br /> By <br /> Its <br /> Date <br /> • <br /> Submit completed application to: Minnesota Community Capital Fund <br /> Attention: Bob Palmquist <br /> Senior Loan Officer <br /> 221 West First Street <br /> Duluth,MN 55802 <br /> Direct: 218-529-7562 <br /> Toll-free: 800-860-6223 <br /> Email: bpalmquist@mncommunitycapitalfund.org <br /> • <br /> 3 <br />