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- off - � 3 • Division Serial No. ` Prior Division Serial No. STATE OF FLORIDA DIVISION OF BOND FINANCE NOTICE OF INTENT TO ISSUE BONDS AND REQUEST FOR WRITTEN CONFIRMATION PART I (to be completed by applicant) Date : January 1 , 2004 Name, address and phone number of person who prepared this Notice (confirmation or rejection will be sent to this person unless otherwise directed) : Name: Gordon R. Jernigan Phone: ( 8501 432-7077 Address: 25 West Cedar Street, Suite 530 Pensacola Florida 32501 Issuing Agency: Escambia County Housing Finance Authority Company (if applicable) : Requested Amount: $ Is this a Supplementary Notice? Yes No X Check one of the following: Manufacturing Facility (as defined in Section 159 . 803 ( 10), F. S.) Florida First Business Project (as defined in Section 159.803( l 1 ), F.S.) (Governor' s Office of Tourism, Trade and Economic Development certification must be attached) Multifamily Housing Single Family Housing X Other (If "Other" , specify) Is this a Priority Project under State law? Yes No X Purpose: Single Family Mortgage Revenue Bond Program for Indian River County to be issued by the Escambia County Housing Finance Authority s. 147(f) or similar IRC Approval Date: December 9, 2003 Approving Authority (Unit of Government): Board of County Commissioners of Indian River County Contemplated Date(s) of Issue: I HEREBY CERTIFY THAT THE ELECTED OFFICIAL OR VOTER APPROVAL REQUIRED PURSUANT TO 147(f) OF THE-INTERNAL REVENUE CODE HAS BEEN BTAINED ON THE DATE INDICATED ABOVE, AND THAT THE AMOUNT REASONABLY EXPECTED TO B EQUIRED FOR THE FINANCING EQUALS AT LEAST 90 % OF THE AMOUNT REQUESTED ABOVE. Signature of Issuing Agency Official Issuing Agency Official - typed or prin Name and Title Kenneth R . Macht, Chair, Board of County Commissioners IMPORTANT! Legal Opinion (Section 159. 805 ( 1 ), F. S .) enclosed: X $ 100.00 Filing Fee enclosed: X PART 11 (to be completed by the Division of Bond Finance) Received by: Date and Time Received: Adjusted Date Received (pursuant to Section 159 .8081 or 159 .8083, F.S.) Status (confirmed or rejected): Amount Confirmed: $ Confirmation Valid Through: Amount Pending (if any) : $ Comments: Category of Confirmation : Title: Director, Division of Bond Finance ISSUER IS H EREBY ADVISED THAT THIS CONFIRMATION IS CONDITIONAL AND SHALL NOT BE CONSIDERED FINAL UNTIL AND UNLESS (1 ) THE DIVISION RECEIVES TIMELY NOTIFICATION OF ISSUANCE OF THE BONDS PURSUANT TO SECTION 159.805(5)(a), FLORIDA STATUTES, AND (2) THE DIVISION HAS ISSUED ITS FINAL CONFIRMATION OF ALLOCATION ( FORM BF 2007-B) WITH RESPECT TO THE BONDS. (Form BF2006-G/ 1 - 1 -97)