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55 <br /> Exhibit E - Form of Requisition <br /> [Date] <br /> The Bank of New York Mellon Trust Company, N.A.,as Trustee <br /> Attention: Corporate Trust <br /> Regarding: Requisition under 2019 <br /> Trust Agreement for Orange County, North Carolina <br /> RE: Request by Orange County, North Carolina (the "County"), for disbursement <br /> of funds from a Bond Proceeds Fund created under a First Supplemental <br /> Trust Agreement dated as of May 1, 2019 (the "Supplemental Agreement"), <br /> with Orange County, North Carolina (the "County") <br /> To the Trustee: <br /> Pursuant to the terms and conditions of the Supplemental Agreement, the <br /> County authorizes and requests the disbursement of funds from the "Orange County <br /> 2019 Bond Proceeds Fund" established under that Supplemental Agreement for the <br /> costs described below. <br /> Capitalized terms used in this requisition and not otherwise defined have the <br /> meanings ascribed in the Trust Agreement dated as of June 1, 2018, between the <br /> County and the Trustee, as supplemented by the Supplemental Agreement (as <br /> supplemented, the "Trust Agreement"). <br /> This is requisition number 2019 - from the Bond Proceeds Fund. <br /> Total Amount for <br /> Disbursement <br /> Payee <br /> Payee's address <br /> 33 <br />