YOU ARE HEREBY NOTIFIED THAT THE OFFICE OF THE STATE BOND COMMISSION HAS RECEIVED YOUR REQUEST FOR PREPAYMENT OF THE FOLLOWING REIMBURSEMENT CONTRACT:

1. Name of entity ____________________________________________________________________________

2. Identifying information on reimbursement contract:

    Name ___________________________________________________________________________________

    Series ___________________________________ Issue Date __________________________________

    Amount of Original Issue ____________________________________________________________________

    Principal and Interest Payment Dates: Principal ________________ Interest ________________

A REVIEW OF OUR RECORDS INDICATES THAT THE FOLLOWING AMOUNTS ARE DUE IN ORDER TO PREPAY THE REIMBURSEMENT CONTRACT ON OR BEFORE THE FOLLOWING DATE:

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Cost of prepayment:

a. Principal $ ____________________

b. Interest $ ____________________

c. Redemption premium, if any $ ____________________

d. Less Reserves $ ____________________

e. Total amount due for prepayment $ ____________________

IF YOU DISAGREE WITH THE ABOVE FIGURES, CONTACT THE FOLLOWING PERSON AT THE STATE BOND COMMISSION:

_________________________________

_________________________________

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