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Section VII. The Warrants with respect to each Fund shall be issued in substantially the following <br />form (all blanks, including the appropriate amounts, dates, and other information to be properly <br />completed prior to the execution and delivery thereof <br />[Form of Warrant} <br />UNITED STATES OF AMERICA <br />STATE OF INDIANA <br />Due Date: February 27, 2004 <br />COUNTY OF ST. JOSEPH <br /> <br />CITY OF SOUTH BEND, INDIANA <br />TEMPORARY LOAN TAX ANTICIPATION TIME WARRANT <br />( FUND) <br />FOR VALUE RECEIVED, on or before February 27, 2004, the City of South Bend, Indiana (the <br />"City). shall pay to the amount of $ (or so <br />much thereof as maybe advanced from time to time and be outstanding as evidenced by the records of the registered <br />owner making payment for this Warrant, or its assigns) pursuant to a certain Warrant Purchase Agreement between the <br />Bond Bank and the City, dated as of (the "Agreement") <br />In addition, the City of The Due Date hereof shall pay to the bearer hereof interest at the rate of _ <br />per annum on the outstanding principal amount, with such interest to be calculated on the basis of a 360-day year <br />comprised of twelve 30-day months. <br />Both principal of and interest of this warrant are payable in lawful money of the United States of <br />America of the Officer of the Controller of the City, as Paying Agent, or any appointed successor Paying Agent upon <br />presentation on or after their maturity date. <br />This Warrant evidences a temporary loan to provide funds to retire certain previously issued tax <br />warrants which expired December 31, 2003 the proceeds of which were used to meet current expenses of the <br />Fund, and this Warrant has been authorized by an ordinance passed and adopted by the common Council of the City <br />of South Bend, Indiana, on , 2003, in accordance with Indiana Code, Title 36, Article 4, Chapter <br />6, and all other acts amendatory thereof or supplemental thereto. <br />This Warrant is issued in anticipation of the tax levy which has been made for the <br />Fund in the year 2003, which tax levy is now in the course of collection, and which may not be received unti12004. <br />There has been irrevocably appropriated and pledged to the payment in full of the principal of and interest on this <br />Warrant a sufficient amount of the revenues to be derived from the Fund tax levy. <br />It is further hereby certified, recited, and declared that all acts, conditions, and things required by law <br />precedent to the issuance and execution of this Warrant have been properly done, have happened, and have been <br />performed in the manner required by the constitution and statutes of the State of Indiana relating thereto; that the _ <br />Fund tax levy from which (together with other amounts in the Fund) this Warrant <br />is payable, is a valid and legal levy; and the City will reserve a sufficient amount of the proceeds of the <br />Fund tax levy currently in the course of collection for the timely payment of the principal of and interest on this Warrant <br />in accordance with its terms. <br />IN WITNESS WHEREOF, the City of South Bend, in the County of St. Joseph, State of Indiana, has <br />caused this Warrant to be executed in its corporate name by the Mayor of the City of South Bend, Indiana, countersigned <br />by the City Controller of the City of South Bend, Indiana, and its corporate seal to be hereunto affixed and attested by <br />the City Clerk of the City of South Bend, Indiana, all as of the day of , 2003. <br />-4- <br />