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EXHIBIT 1 <br />TO APPENDIX A <br /> <br />ANNUAL DISCLOSURE REPORT <br /> <br />Region: <br /> <br />Address: <br /> <br />ConCact Person: <br /> <br />Phone ( <br /> <br />Project Name or Number: <br /> <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br />I <br />I <br />I <br />i <br />I <br /> <br />Type o£ Project (PLEASE CIRCLE): <br /> <br />Housing Economic Development <br />Fiscal Year: <br /> <br />Redevelopment <br /> <br />Adm{nisterlng Agency: <br /> <br />Original Assessed Value <br /> <br />Current Assessed Value <br /> <br />Captured Assessed Value Retained by the <br /> Administering Authority <br /> <br />Captured Assessed Value Shared with Other <br /> Taxing Districts (City, School District,. <br /> County, Townships, etc.) <br /> <br />Amount of Tax Increment Received During this Period <br />Amount of Outstanding Bond Indebtedness <br /> <br />l-A-1 <br /> <br /> <br />