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TO BE COMPLETED UPON CLOSING OF BOND ISSUE

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TO BE COMPLETED UPON CLOSING OF BOND ISSUE
Pursuant to Iowa Code Section 7C.7, if Bonds are issued prior to the expiration date set forth in
the Response (Form B), a representative of the Issuer shall notify the Governor’s Designee by
filing this form within ten (10) days of delivery of the Bonds.
To: GOVERNOR’S DESIGNEE
Iowa Finance Authority
1963 Bell Avenue, Suite 200
Des Moines, Iowa, 50315
Attn: Chief Bond Programs Director
YOU ARE HEREBY NOTIFIED that the Bonds have been issued and delivered for the Project
described in the Application and Response approved by you on the ___day of __________,
202__.
Issuer:
Name of Bonds:
Principal Amount:
Date of Delivery:
Dated this _______ day of __________________, 202__.
Counsel Name/Authorized Signature
Address
State of ______ _
}
}
ss:
County of _ ___
}
Subscribed and sworn before me this ________ day of ___________, 202___.
PRIVATE ACTIVITY VOLUME CAP
ALLOCATION NOTICE OF ISSUANCE
AND DELIVERY OF BONDS
(FORM C)
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TO BE COMPLETED UPON CLOSING OF BOND ISSUE

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Completed 27 January 2021

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