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September 1,2016 and after <br /> ATTACHMENT B <br /> Acknowledgment of Restrictions on Use and Disclosure of Confidential Financial <br /> Information <br /> I, Billy Tyus , am currently employed as [a][an] <br /> Deputy City Manager with [the [4:e�][City][`11- <br /> - 11I y] of City of Decatur, Illinois (the <br /> ["Municipality"][" "])][ afne E4 o9ff goveffiment efft4y]. I am authorized under the Reciprocal <br /> Agreement on Exchange of Information between [name of Municipality][ e$fGeui*y] and the <br /> Illinois Department of Revenue to request, view,or receive confidential financial information on behalf <br /> of the [Gatmt-y I have received and reviewed the Reciprocal Agreement on the Exchange <br /> of Information and I understand its terms. <br /> By my signature below I acknowledge that the unauthorized use or disclosure of confidential <br /> financial information obtained under the Reciprocal Agreement is prohibited by law. I further <br /> acknowledge that any person who divulges confidential financial information in any manner, except <br /> pursuant to a court order or as otherwise authorized by law, is guilty of a Class B misdemeanor and <br /> subject to a fine of up to $7,500 per disclosure. I understand that disclosing confidential financial <br /> information to persons who are not explicitly authorized under the Reciprocal Agreement constitutes <br /> unauthorized use and disclosure. <br /> Employer: (Please print) Bi=J==1M T y„ <br /> Position/Title: (Please print) Deputy City Manager <br /> [ ignatu`re] l;J L `t r` <br /> t✓t- <br /> S ;attoc�t;_; <br /> [Date] <br /> Reciprocal Agreement on Exchange of Information—Sales Tax 5 <br /> (R-9/16) <br />