N.M. Code R. § 7.29.4.8
APPLICATION PROCEDURES FOR FINANCIAL ASSISTANCE
B. The Department and the Authority will provide forms and/or guidelines for application to apply for Program funds. The application shall be signed by the Authorized Representative and submitted to the Department. The application shall include the following:
(1) type of Financial Assistance being sought and itemization of the proposed use or uses of the Financial Assistance;
(2) detailed description of the circumstances which justify the need for the Capital Project, including:
(a) eligibility of application entity
(b) programmatic appropriateness
(c) facility need as covered in Section 9.2.a.
(d) needs of community as covered in Section 9.2 b.
(3) detailed description of the Capital Project to be financed. Information on each Capital Project must include:
(a) description of the scope of work of the Capital Project;
(b) the estimated cost of the Capital Project;
(c) the target date for the initiation of the Capital Project and the estimated time to completion;
(d) the estimated useful life of the Capital Project and selected components (furnishings, equipment, etc.), as detailed on the application form;
(e) proof of applicable licenses and certifications; and
(f) other data as requested by the Department or the Authority.
(4) a copy of the Applicant's articles of incorporation and by-laws;
(5) a copy of the Applicant's Internal Revenue Service tax exempt determination letter;
(6) a letter certifying that the Capital Project was duly authorized and approved by the Applicant's governing body;
(7) identification of the source of funds for repayment of the Financial Assistance and the source of funds to operate and maintain the Capital Project over its useful life;
(8) the Applicant's audited financial reports for the most recent three years;
(9) the requested loan payback period;
(10) any existing title insurance policies, title abstracts or searches of the real property owned by the Applicant;
(11) information on the current and proposed services of the Applicant to the sick and medically indigent;
(12) additional information as requested by the Department, Board or Finance Committee.
[7.29.4.8 NMAC - Rp 7 NMAC 29.4.8, 12/28/01]