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? <br />(Rev. 6/93) <br />aNST'RUCTIONS <br />fOZ <br />DECLARAT:ON OF OFFICIAL INTENT <br />For Reimbursemenc Frcm Tax-Exemnt Bonds/Notes <br />PURPOSE <br />'I'he form to which these insuuctions penain is intended for use under Treasury Regulazions § 1.150-2 <br />(the Regulations) in order chaz aa ezpenditure chaz is paid wich moneys temporarily advanccd from ocher fuads aad <br />is reasonably ezpecced to be reimbursed from proceeds af subsequendy issued noces or bonds may qualify for such <br />reimbursemenc. Failure co comply caa result in serious consequences. With cercain ezceptions far qualified <br />"preiiminary ezpendinues" and cenain de minimis ezpenditures, a Declaration of Official Intenc must be made noc <br />later than 60 days after payment of t?e capual ezpendirure ezpected to be reimbursed from proceeds of <br />obligations. The "reasonable ezpeccation" test will be failed if the Issuer merely syscematically malces the <br />dezlarazion for all ezpenditures or m ezaggerased amounts regardless of real ezpectanons. In general "capital <br />expenditures" include (subject to aay more restricrive staze law) any cosu related to the acquisition or construcuoa <br />of laad or interesu ia real estau. buildings, structures, additions thereto, or ocher permanent improvements, aad <br />ratoration or betterments made co increase che value of property or substantially prolang ics useful Iife, aad also <br />of machinery, equipment, fiunicure and fixtures having a useful life of at least one year or such longer period as is <br />required by applicable state law. Costs of issuance also are capital expenditures for this purpose. Certain other <br />expendinues also qualify for reimbursement. The Regulations do not apply to and this form is not to be used in <br />conneccion with use of proceeds of obligacions co finance expenditures paid on or after the date of issuance of the <br />obligations, and this form generally does noc apply to abligations for che refinancing of ezternal borrowings <br />(tazable or caz-exempt) such as by issuance of rcaewal noces or refunding bonds. <br />INSTRUCTIONS <br />These instructions are based on the Regutations published in The Federal Resister on June 18, 1993. <br />The instructions refer to the pazticulaz lines on Ehe form of Deciaration o ici tenc. <br />Line 1. Insert the ezpected maximum principal amount of obligations ezpected to be issued for the <br />project wiiff respect to which the capical ezpendinires co be reimbursed reiate. The amount entered on line 1. <br />should inciude the maximum principal amounc of all obligations to be issued for the project, (i.e., obligations to <br />be issued for reimbursemeat of prior ezpendicures and obiigations to finaace expenditures to be paid on or after <br />the dau of issuance of the obligations). A'project inciudes any properry, project, or program (e.g., highway <br />capital improvemenc program, hospical equipmenc acquisition, or sehool buUding renovation). <br />Line 2. The general description of the capital ezpenditures to be reimbursed may be set forth in one of <br />two ways -- either (A) by a functional descripcion of the properry, project or program for wiuch the ezpenditure is <br />made - <br />Ezamples- "highway capital improvement program": "street and bridge improvements"; "hospital <br />' equipmenc acqwsiuon"; 'schaol buildings renovation"; <br />or (B) by identification of the fund or account from which the money will be advanccd to pay che ezpenditures <br />tTat will be reimbursed subsequencly from borrowed money, and a statement of the general fuactional purpose of <br />that fund or account - <br />Example- "pazks and recreation fund, the general functional purpose of which fund or account is <br />recreational iacilirv canical imnrovement proeram". <br />'I'he (B) option, conceraing identification and description of the fund can be used where che fund purgose, m <br />effect, describes the generic purpose of the project, property or program, such as a waterworks improvement for <br />which money is advanced from the water uulity fund. If the money is to be advanced from a general purpose <br />fund such as the general fund or a capital improvements fund which is available for any rype of capital <br />improvement, use option (A) by stating the generic function of the project, property or improvement. <br />501(c) Oreanizations. If the reimbursement obligations will constitute qualified 501(c)(3) bonds, the <br />proceeds ot whic wil e Loaned to a 501(c)(3) organization, the 501(c)(3) organizaEion, can make the <br />Declazacion with respect to its expendi[ures and its name can be inserted on the "Name of Issuer" line, and its <br />oificer can sign the Declaration. Accordingly, in these Instructions. "Issuer" means the issuer of the <br />reimbursemenc bonds, ezcept thaz in the case of a'loan" of procecds of the bonds to a 501(c)(3) organization for <br />which the 501(c)(3) organization has elected to make the Declaracion, "Issuer" meaas the 501(c)(3) organization.