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lon.m <br />The undersigned are duly authorized officers of each of Lone Star Planned Developments, <br />LLC ("Developer") and the City of Paris, Texas (the "City" and, together with the Developer, the <br />"Parties") and are qualified to execute this certificate pursuant to that certain Reimbursement <br />Agreement, Forestbrook Public Improvement District No. 1., between the Developer and the City, <br />effective ­­ ............ . . . ..................................... . -, 20 — (the "Reimbursement Agreement"), in order to keep an accounting of the <br />Reimbursement Agreement Balance (defined therein). Unless otherwise defined, any capitalized <br />terms used herein shall have the meanings ascribed to them. in the Reimbursement Agreement. <br />The Parties acknowledge and agree that as of the date of execution of this certificate the <br />schedule(s) set forth below contain a true and correct record of the accounting of the then current <br />Reimbursement Agreement Balance for each Improvement Area. <br />[Form qfSchedule for Each Improvement Area] <br />Improvement Area. #[_] Reimbursement Agreement Balance <br />. . . .......... <br />Certificate Date Reimbursement Interest Rate (1/o) Date Payments Made Payments Made Date of Current <br />for Approved Amount FInterest from PID from PID Project Payment Balance <br />&X <br />Payment By City Accrues Reimbursement Fund (1�) <br />No. From. Fund <br />. . .......... . ..... . ...... <br />.............. –­­ — - — ----- . . . . ................................. ................................. . . .......... <br />........... <br />. . . ....... ... . <br />. . . ....................... . <br />Totals: <br />L. ..................... . . .. . .. . ... ­­ <br />�Signature <br />IPaes Follows7 <br />-: gJ <br />0 18 5 8 1. 00 0 00 1 \490 8 -9229-315 5.v5 <br />