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Form 8038-G (Rev. November 2000) Department of the Treasury Internal Revenue Service Information Return for Tax -Exempt Governmental Obligations ► Under Internal Revenue Code section 149(e) ► See separate Instructions. Caution: If the issue price is under $100,000, use Form 8038 -GC. OMB No. 1545-0720 Reporting Authority If Amended Return, check here ► ❑ 1 Issuer's name 2 Issuer's employer identification number Indian River County 3 Number and street (or P.O. box if mail is not delivered to street address) Room/suite 4 Report number 15 1840 25th Street 16 5 City, town, or post office, state, and ZIP code 18 6 Date of issue Vero Beach, FI LZ. 4/01/2004 7 Name of issue (c) Stated redemption price at maturity 8 CUSIP number A/C 7297850-001 21 n/a $ 393,169.00 9 Name and title of officer or legal representative whom the IRS may call for more information10 ..Telephone number of officer or legal representative % Ms. Francis Sherwood ( 772 ) 567-8000 Type of Issue (check applicable box(es) and enter the issue price) See instructions and attach schedule 11 12 13 14 15 16 17 18 19 20 ❑ Education . . . . . . . . . . . . . . . . . . . . . . . . . E3 Health and hospital . . . . . . . . . . . . . . . . . . . . . . . ❑ Transportation . . . . . . . . . . . . . . . . . . . 0 Public safety . . . . . . . . . . . . . . . . . . . . ❑ Environment (including sewage bonds) . . . . . . . . . . . . . ElHousing . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ Utilities . . . . . . . . . . . . . . . . . . . . . ... . . . . , ❑ Other. Describe ► If obligations are TANS or RANs, check box ► El obligations are BANS, check box ► El If obligations are in the form of a lease or installment sale, check box 10-0 11 12 13 14 393,169.00 15 16 17 18 LZ. IVIII Description of Obligations. Complete for the entire issue for which this form is beinq filed. (a) Final maturity date (b) Issue price (c) Stated redemption price at maturity (d) Weighted: average maturity (e) Yield 21 n/a $ 393,169.00 $ n/a 7 years % Uses of Proceeds of Bond Issue(including underwriters' discount 22 23 24 25 26 27 28 29 30 Proceeds used for accrued interest . . . . . . . . . . . . . . . . . .. . . . Issue price of entire issue (enter amount from line 21, column (b)) . . . . . . . Proceeds used for bond issuance costs (including underwriters' discount) . 24 n/a Proceeds used for credit enhancement . . . . . . . . . . . . 25 n/a Proceeds allocated to reasonably required reserve or replacement fund . . 26 n/a Proceeds used to currently refund prior issues . . . . . . . . 27 n/a Proceeds used to advance refund prior issues . . . . . . . . 28 n/a Total (add lines 24 through 28) . . . . . . . . . Nonrefunding proceeds of the issue subtract line 29 from line 23 and enter amount here) . 22 n/a 23 n/a 29 n/a 30 n/a JiM Description of Refunded Bonds (Complete this part only for refunding bonds.) 31 Enter the remaining weighted average maturity of the bonds to be currently refunded . . . No. n/a years 32 Enter the remaining weighted average maturity of the bonds to be advance refunded ► n/a years 33 Enter the last date on which the refunded bonds will be called . . . . . . . . . . . ► n/a 34 Enter the date(s) the refunded bonds were issued ► n/a FUMM Miscellaneous 35 Enter the amount of the state volume cap allocated to the issue under section 141(b)(5) 35 n/a 36a Enter the amount of gross proceeds invested or to be invested in a guaranteed investment contract (see instructions) 36a n/a b Enter the final maturity date of the guaranteed investment contract ► 37 Pooled financings: a Proceeds of this issue that are to be used to make loans to other governmental units 37a b If this issue is a loan made from the proceeds of another tax-exempt issue, check box ► ❑ and enter the name of the issuer ► and the date of the issue ► 38 If the issuer has designatedthe issue under section 265(b)(3)(B)(i)(III) (small issuer exception), check box ► ❑ 39 If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check box . . . . . . . . . . . . ► ❑ 40 If the issuer has identified a hedge, check box► ❑ Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. Sign , Here 05/04/2004 ' Caroline D. Ginn, Chairman Signature of issuer's authorized repretkfitative Date Type or print name and title For Paperwork Reduction Act Notice, see page 2 of the Instructions. cat. No.63MS Form 8038-G (Rev. 11-2000)