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59 <br /> Exhibit E - Form of Reg-uisition <br /> [Date] <br /> The Bank of New York Mellon Trust Company, N.A., as Trustee <br /> Attention: Corporate Trust <br /> Regarding: Requisition under 2022 Supplemental <br /> Trust Agreement for Orange County, North Carolina <br /> ELECTRONIC COPY TO: <br /> Truist Commercial Equity, Inc., <br /> [email or fax number to be provided] <br /> RE: Request by Orange County, North Carolina (the "County"), for disbursement <br /> of funds from a Bond Proceeds Fund created under a Fourth Supplemental <br /> Trust Agreement dated as of May 11, 2022 (the "2022 Agreement"), with <br /> Orange County, North Carolina (the "County") <br /> To the Trustee: <br /> Pursuant to the terms and conditions of the 2022 Agreement, the County <br /> authorizes and requests the disbursement of funds from the "Orange County 2022 <br /> Proceeds Fund" established under that 2022 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 2022 Agreement. <br /> This is requisition number 2022 - from the 2022 Proceeds Fund. <br /> Total Amount for <br /> Disbursement <br /> Payee <br /> Payee's address <br /> 34 <br />