Orange County NC Website
~, <br />• Form $~38-G Information Return for Tax-Exempt Governmental Obligations <br />(Rev. November 2000) - Under Internal Revenue Code section 149 e <br />(~ OMB No. 1545-0720 <br />- See separate Instructions. <br />Department of the Treasury <br />Internal Revenue Service Caution: If the issue price is under $100,000, use Form 8038-GC. <br />^~t^.^ rc~porrang HuinOfliy If Amended Return_ r•har`k Kara - f1 <br />7 Issuer's name 2 Issuer's employer identification number <br /> County of Orange 56 ; 6000327 <br />3 Number and street (or P.O. box if mail is no[ delivered to street address) Room/suite 4 Report number <br /> 208 S. Cameron Street 3 <br />5 City, town, or post office, state, and ZIP code 6 Date of issue <br /> Hillsborough, NC 27278 <br />7 Name of issue 8 CUSIP number <br /> Installment Finance Contract - $1,191,638.00 <br />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 <br />( ) <br />- ~ e or issue ~cnecK a ucaple pox(es) and enter the Issue rice) See instructions and attach schedule <br />11 ^ Education _ 11 <br />12 ^ Health and hospital 12 <br />13 ^ Transportation 13 <br />14 ^ Public safety. 14 <br />15 ^ Environment (including sewage bonds) 15 <br />16 ^ Housing 16 <br />17 ^ Utilities _ _ _ 17 <br />18 ~ Other. Describe - 18 1,191,638.00 <br />19 If obligations are TANs or RANs, check box - ^ If obligations are BANS, check box - ^ <br />20 If obli ations are in the form of a lease or installment sale, check box - ^ <br />Descri tion of Obli ations. Com lete for the entire issue for which this form is bein filed. <br />(a) Final maturity date (b) Issue price (c) Staled redemption (d) Weighted <br />price at maturity average maturity (e) Yield <br />21 $ 1,191,638.00 $ 1,191,638.00 3 ears <br />Uses of Proceeds of Bond Issue (includin underwriters' discount) <br />22 Proceeds used for accrued interest 22 <br />23 Issue price of entire issue (enter amount from line 21, column (b)) 23 <br />24 Proceeds used for bond issuance costs (including underwriters' discount) 24 <br />25 Proceeds used for credit enhancement . 25 <br />26 Proceeds allocated to reasonably required reserve or replacement fund 26 <br />27 Proceeds used to currently refund prior issues 27 <br />28 Proceeds used to advance refund prior issues 28 <br />29 Total (add lines 24 through 28) . 29 <br />30 Nonrefundin roceeds of the issue (subtract line 29 from line 23 and enter amount here) . 30 <br />Descri tion of Refunded Bonds (Com lete this art onl for refundin bonds.) <br />31 Enter the remaining weighted average maturity of the bonds to be currently refunded - years <br />32 Enter the remaining weighted average maturity of the bonds to be advance refunded - years <br />33 Enter the last date on which the refunded bonds will be called - <br />34 Enter the date(s) the refunded bonds were issued - <br />Miscellaneous <br />35 Enter the amount of the state volume cap allocated to the issue under section 141(b)(5) _ _ 35 <br />36a Enter the amount of gross proceeds invested or to be invested in a guaranteed investment contract (see instructions) 36a <br />b Enter the final maturity date of the guaranteed investment contract - <br />37 Pooled financings: a Proceeds of this issue that are to be used to make loans to other governmental units 37a <br />b If this issue is a loan made from the proceeds of another tax-exempt issue, check box - ^ and enter the name of the <br />issuer - and the date of the issue - <br />38 If the issuer has designated the issue under section 265(b)(3)(B)(i)(III) (small issuer exception), check box - ^ <br />39 If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check box - ^ <br />40 If the issuer has identified a hed e, check box - ^ <br />. . . . . . . . . . . . . . . . . . . . . . . <br />Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to [he best of my knowledge <br />and belief, they are true, correct, and complete. <br />Sign ~~ ~j/vix~td~~s <br />Here ~ ~~P~`c~/ o~~r~~~~-Q ~fvy~r~ <br />' .dig o er's authorized representative ate 'Type or print name and title <br />For Paperwork Reducti n Act Notice, see page 2 of the Instructions. cat. No. ss773s .Form 8038-G (Rev. ti-zooo) <br />