Title or Purpose of Issue Original
Amount
Issued
Original
Date of
Issue*
Amount
of Note
Outstanding
Dec. 31, 2024
Date
of
Maturity
Rate
of
Interest
2025 Budget Requirements Interest
Computed to
(Insert Date)
#             For Principal For Interest**  
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Total - - - -
MEMO: *See Sheet 33 for clarification of “Original Date of Issue”
Assessment Notes with an original date of issue of 2022 or prior must be appropriated in full in the 2025 Dedicated Assessment Budget or written intent of permanent financing submitted with statement.
**Interest on Assessment Notes must be included in the Current Fund Budget appropriation “Interest on Notes”.
(Do not crowd - add additional sheets)