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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 2021 <br /> Trust Agreement for Orange County, North Carolina <br /> To the Trustee: <br /> Pursuant to the terms and conditions of the above-referenced Trust <br /> Agreement, the County authorizes and requests the disbursement of funds from the <br /> "Orange County 2021 Project Fund" (the "Project Fund") established under that <br /> Trust Agreement for the costs described below. Capitalized terms used in this <br /> requisition and not otherwise defined have the meanings ascribed in the Trust <br /> Agreement. <br /> This is requisition number from the Project Fund. <br /> Total Amount for <br /> Disbursement <br /> Payee <br /> Payee's address or wiring <br /> instructions <br /> The County makes this requisition pursuant to the following representations: <br /> 1. The County has appropriated in its current fiscal year funds sufficient to pay <br /> the Bond Payments and estimated Additional Payments due in the current <br /> fiscal year. <br /> 2. The purpose of this disbursement is for payment of Project Costs as provided <br /> for in the Trust Agreement. <br /> 81 <br />