1. Served certified or express mail or personally on Fiduciary. 2.

One or more BPNs can be routed through an OB, or multiple OBs can be used. Simple is better. 3. Amount may equal or exceed the liability. 4. Amount and term are variable. Is it advantageous to limit the term or provide a windfall to the beneficiaries? 5. Ideally limit to 1 USPS CERTIFIED MAIL TRACKING NO. PNCertifMailNo page. If 2 pages, use front and back. Position (see reverse side) so it is at the bottom of the page. 6. BPN ## is users choice and can be constructed to identify type, date and issuer. 8. This box is to be deleted before printing. Five Million United States Dollars

No. PNNo

BONDED PROMISSORY NOTE - - - $PNAmt - - -

To the Order of:

Henry M. Paulsen, Jr. d/b/a Secretary of the United States Treasury FiducFullName d/b/a FiducPosition, FiducCo_Agency and Fiduciary Trustee on this Bonded Promissory Note

In the Amount of: Five Million 00/00 United States Dollars ($PNAmt) For Credit to: FiducCo_Agency CaseAccountNo DescripofAcct to the benefit of STRAWMANFULLNAME SS No. SocSec
Certified Mail Tracking No. OBCertifMailNo)

Routing Through: Private Offset Bond No. OBNo to Secretary of the Treasury Henry M. Paulsen (USPS
(Securitization Bond)

This negotiable instrument, tendered lawfully by ManFirstName ManMiddleName ManLastName (Maker) in good faith shall evidence as a debt to the Payee pursuant to the following terms:

1. This Note shall be posted in full dollar for dollar pursuant to the Credit order noted above and
presented to the co-payee, Secretary of the Treasury Henry M. Paulson, Jr., in the attached preaddressed envelope by certified mail/RR (certificates completed and supplied)

2. Payee shall, upon receipt of this instrument, charge account EIN via Pass-Through Account
PassThruAcct for the purpose of terminating any past, present, or future liabilities express or implied attached or attributed to PassThruAcct;

3. Payee shall ledger this Note for a period of twelve (12) months commencing the start of business
on PNDateText until close of business PNExpirText, not to exceed three-hundred sixty-five (365) days, at an interest rate of seven percent (7%) per annum, and

4. Upon maturity, this Note shall be due and payable in full with interest and any associated fees.
Payment shall be ledgered against Private Offset Bond No. OBNo (USPS Certified Mail Tracking Number OBCertifMailNo), held and secured by Henry M. Paulsen, Jr., Secretary of the US Treasury. PNDate
Date

______________________________
Authorized Representative

********************************************************************************************* ManFullName c/o ManStreetAddress ManCityState state non-domestic without US Other Recipients Position Agency Address City, State ZIp Henry M. Paulsen Jr. Department of the Treasury 1500 Pennsylvania Ave NW Washington, DC 20220 Mark Everson Internal Revenue Service 1111 Constitution Avenue, NW Washington, DC 20224 FiducFullName FiducPosition FiducCo_Agency FiducAddress

ManFullName c/o ManStreetAddress ManCityState state non-domestic without US

CERTIFIED MAIL
FiducFullName FiducPosition FiducCo_Agency FiducAddress FiducCityStateZip FOR IMMEDIATE ATTENTION

ManFullName c/o ManStreetAddress ManCityState state non-domestic without US

Henry M. Paulsen Jr. Department of the Treasury 1500 Pennsylvania Ave NW Washington, DC 20220