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Division Serial No. <br />Prior Division Serial No. <br />STATE OF FLORIDA DIVISION OF BOND FINANCE <br />NOTICE OF INTENT TO ISSUE BONDS AND REQUEST FOR WRITTEN CONFIRMATION <br />PART (to he completed by applicant) Date: Janitors,' 1. 2001 <br />Name, address and phone number of person who prepared this Notice (confirmation or rejection will he sent to this person <br />unless otherwise directed): <br />Name: Gordon R. Jernigan Phone: ( 8501 432-7077 <br />Address: 25 West Cedar Street. Suite 530 <br />Pensacola. Florida 32501 <br />Issuing Agency: l cambia County Housing Finance Authority <br />Company (if applicable): <br />Requested Amount: $ <br />Is this a Supplementary Notice? Yes No X <br />Check one of the following: <br />Manufacturing Facility (as defined in Section 159.803(10), F.S.) <br />Florida First Business Project (as defined in Section 159.803(11 ), F.S.) <br />(Governor's Office of Tourism, Trade and Economic Development certification must be attached) <br />Multifamily Housing Single Family Housing X Other <br />(If "Other", specify) <br />Is this a Priority Project under State law? Yes No X <br />Purpose: Single Family Mortgage Revenue Bond Program for Indian River County to be issued by the Escambia County Housing <br />Finance Authority <br />s. 147(f) or similar IRC Approval Date: <br />Approving Authority (Unit of Government): Board of County Commissioners of Indian River County <br />Contemplated Date(s) of Issue: February 2001 <br />1 HEREBY CERTIFY THAT THE ELECTED OFFICIAL OR VOTER AI'PROVAI. REQUIRED PURSUANT TO 147(1) <br />OF THE INTERNAL REVENUE CODE HAS BEEN OBTAINED ON TIIE DATE INDICATED ABOVE, AND THAT THE <br />AMOUNT REASONABLY EXPECTED TO BE REQUIRED FOR THE FINANCING EQUALS AT LEAST 90% OF THE <br />AMOUNT REQUESTED ABOVE. <br />Signature of Issuing Agency Official <br />Issuing Agency Official - typed or printed Name and Title Fran Adapts, Chairman, Board of County Commissioners <br />IMPORTANT! Legal Opinion (Section 159.805(1), F.S.) enclosed: X S100.00 Filing Fee enclosed: X <br />'ART 11 (to be completed by the Division of Bond Finance) <br />Received hy: Date and Time Received: <br />Adjusted Date Received (pursuant to Section 159.8081 or 159.8083, F.S.) <br />Status (confirmed or rejected): <br />Amount Confirmed: $ Confrntaiinn Valid Through: <br />Amount Pending (if any): $ Comments: <br />Category of Confirmation: <br />Title: Pirector. Division of Bond finance <br />ISSUER IS HEREBY ADVISED THATTHIS CONFIRMATION IS CONDITIONAL AND SHALL NOT BE CONSIDERED <br />FINAL UNTIL AND UNLESS (1) THE DIVISION RECEIVES TIMELY NOTIFICATION OF ISSUANCE OF 111E BONDS <br />PURSUANT TO SECTION IS11.00(5)(6), FLORIDA STATUTES, AND (2) THE DIVISION HAS ISSUED ITS FINAL <br />CONFIRMATION OF ALLOCATION (FORM 1F 2117.1) WM1 RESPECT TO THE BONDS. <br />Iron BPM106 ,V1.1-97) <br />
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