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51 <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 2019B Supplemental <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 Second Supplemental <br /> Trust Agreement dated as of November 1, 2019 (the "2019B Agreement"), <br /> with Orange County, North Carolina (the "County") <br /> To the Trustee: <br /> Pursuant to the terms and conditions of the 2019B Agreement, the County <br /> authorizes and requests the disbursement of funds from the "Orange County 2019B <br /> Proceeds Fund" established under that 2019B Agreement for the costs described <br /> below. <br /> Capitalized terms used in this requisition and not otherwise defined have the <br /> meanings ascribed in the 2019B Agreement. <br /> This is requisition number 2019 - from the 2019B Proceeds Fund. <br /> Total Amount for <br /> Disbursement <br /> Payee <br /> Payee's address <br /> 26 <br />