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Form 8038 = G Information Return for Tax-Exempt Governmental Obligations ► Under Internal Revenue Code section 149(e) OMB No. 1545-0720 (Rev. November 2000) ► See separate Instructions. Impartment of the Treasury Internal Revenue Service Caution: If the issue price is under $ 100,000, use Form 8038-GC. EM 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 1840 25th Street 5 City, town, or post office, state, and ZIP code 6 Date of issue Vero Beach, FI 4/01 /2004 7 Name of issue 8 CUSIP number A/C 7297850-001 9 Name and title of officer or legal representative whom the IRS may call for more information 10 Telephone number of officer or legal representative Ms. Francis Sherwood I ( 772 ) 567-8000 Type of Issue (check applicable box(es) and enter the issue rice) See instructions and attach schedule 11 ❑ Education 11 12 ❑ Health and hospital 12 13 ❑ Transportation 13 14 © Public safety , 14 393,169.00 15 ❑ Environment (including sewage bonds) , 15 16 ❑ Housing 16 17 ❑ Utilities 17 18 ❑ Other. Describe ► 18 19 If obligations are TANS or RANs , check box ► ❑ If obligations are BANS, check box ► ❑ 20 If obligations are in the form of a lease or installment sale, check box ► 0 JR. IM 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 (d) Weighted (e) Yield price at maturity average maturity 21 n/a $ 393, 169.00 $ n/a 7 years % • Uses of Proceeds of Bond Issue (including underwriters' discount 22 Proceeds used for accrued interest . . . . . . . . . . . . . . . . . . . . . 22 n/a 23 Issue price of entire issue (enter amount from line 21 , column (b)) . . , . . . . 23 n/a 24 Proceeds used for bond issuance costs (including underwriters' discount) 24 n/a 25 Proceeds used for credit enhancement , . . . . . . . , . 25 n/a 26 Proceeds allocated to reasonably required reserve or replacement fund 26 n/a 27 Proceeds used to currently refund prior issues 27 n/a 28 Proceeds used to advance refund prior issues 28 n/aVER 29 Total (add lines 24 through 28) , 29 n/a 30 Nonrefunding proceeds of the issue subtract line 29 from line 23 and enter amount here , 30 n/a 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 . ► 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 • 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 designated the issue under section 265 (b)(3) (13)(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 repre tative Date Type or print name and title For Paperwork Reduction Act Notice, see page 2 of the Instructions. Cat. No. 637735 Form 8038- G (Rev. 11 -2000)