The application shall be entitled substantially as follows:

STATE OF NEW YORK—DEPARTMENT OF AUDIT AND CONTROL

In the Matter

of

The application of ( If a municipality, name of chief fiscal officer)

as chief fiscal officer of the (Name of municipality))

(the finance board of (If a district corporation, name and location of the district corporation))

for a certificate of the State Comptroller authorizing the exclusion of certain outstanding indebtedness, pursuant to section 123.00 of the Local Finance Law.