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<br />(Rev. 6/93) <br />_NSTZUCTLI ONS <br />for <br />DECI,ARATION OF OFFICIAL INTENT <br />For Rei:nDUrsemenc From Tax-Exempt Bonds/Notes <br />PURPOSE <br />T' he form to wtuch these insuuctions pertain is intended for use under Treasury Regulations § 1.150-2 <br />(the Reguulations) in order that an ezpendicure chat is paid with moneys temporarily advanced from ocher funds and <br />is reasonably ezpected to be reimbuised from proceeds of subsequendy issued noces or bonds may qualify for such <br />reimbursement. Failure [o comply caa result in serious consequences. With certain exceptions for qualified <br />'preiiminary expeadinues" and cet[aia de minimie ezpeaditutes, a Declaration of Official Intent must be made noc <br />later than 60 days after payment of t?fie capical ezpenditure ezpeczed to be reimbursed from proceeds of <br />obligations. The "reasonable ezpectation" test will be failed if the Issuer merely syscematically makes the <br />declarazian for all ezpenditures or ia ezaggerated amaunu regardless of real expectauans. In general "capital <br />expenditures" inciude (subject to any more resrricrive state law) aay costs reiated to the acquisition or construcnon <br />of tand or interests in real estate. buildings, suucrures, additions thereso, or other permanent improvements, and <br />ratorarion or bettermenu made to increase the value of properry or substantially prolong iu useful life, aad also <br />of machinery, eguipment, furniture and fizmres having a useful life of az least one year or such longer period as is <br />required by applicable stau law. Costs of issuance also are capital ezpenditures for this purpose. Certain other <br />eapeuditures also qualify for reimbursemens. Ihe Regulations do not apply to and this form is not to be used ia <br />conneccion with use of procerds of obligations to finance expenditures paid on or after the date of issuance of the <br />obliga[ions, and this form generally does nac apply to obligations for the refinancing of ezternal borrowings <br />(taxable or taz-ezempt) sucti as by issuance of renewal notes or refunding bonds. <br />INSTRUCTIONS <br />'Ihese instructions are based on the Regulazions published in The Federal Resister on June 18, 1993. <br />The instructions refer to the particular lines oa the form of Declaration o ici tent. <br />Line 1. Insert the ezpected mazimum principal amount of obligations exgected to be issued for the <br />projecc wii?respect to whicti the capi[al exgenditures co be reimbursed relate. The amount encered on line 1. <br />should include the maximum principal amaunt of all obligations to be issued for the project, (i.e., obligations to <br />be issued for reimbursemeat of prior ezpendicures and obligazions to finaace eagenditures to be paid oa or after <br />the date of issuance of the obligations). A'project inc3udes any progerry, project, or program (e.g., highway <br />capital improvement program, hospital equipment acquisition, or school buflding renovation). <br />Line 2. The general description of the capital ezpenditures to be reimbursed may be set for[h in one of <br />two ways -= eittLer (A) by a functional descripcion of the properry, project or program for wtuch the ezpendirure is <br />made - <br />Examples- "highway capital improvemen[ program": "streec and bridge improvements"; "hospital <br />' equipmenc acquisuion"; "sc3iool buildings renovation"; <br />or (B) by idenrification of che fund or account from wlueh the money will be advanced to pay che ezpeaditures <br />[Tac will be reimbursed subsequencly from borrowed money, and a statement of the general functianal purpose of <br />that fund or account -- <br />Eaample- "paz3cs and recreation fund, the general functional purpose of which fund or accouat is <br />recreacional iacilirv iaDC?cal imnrovement proeram". <br />The (B) opcion, eoaeerning idencification and description of the fund can be used where che fund purpose, in <br />effecz, describes the generic purpose of the project, pmperty or program, such as a waterworks improvement for <br />which money is advanced from the water uuliry fund. If the money is to be advanced from a general purpose <br />fund such as the general fund or a capital improvements fuad which is available for any rype of capital <br />improvement, use option (A) by scating che generic function of the pmject, propercy or improvement. <br />501(c) Oreanizations. If the reimbunemenc obligations will constitute qualified 501(c)(3) bonds, the <br />praceeds ot whic wil e loaned to a 501(c)(3) organization, the 501(c)(3) organ.izacion, can make the <br />Declazacion wich respect to its expeaditures and its name can be inserted on the "Name of Issuer" line, and iu <br />oificer can sign the Declaration. Accordingly, in these Instructions, "Issuer" means the issuer of the <br />reimbursemenc bonds, ezcept thaz in che case of a"loan" of proceeds of che bonds to a 501(c)(3) organization for <br />which che 501(c)(3) organizacion has elecced to make che Declaracion, "Issuer' means che 501(c)(3) organizacion.