John Henry Smith

c/o 123 Main Street

Anytown, California state
non domestic without the US
Date:______________

Ref: John Henry Smith

Letter 1058 DO dated 04/23/2007

Internal Revenue Service

Attn: JAMES JONES
BOX 123
KASAS CITY, MO 54321

Bond to discharge attachment for debt

Via Pass-through Account JOHN HENRY SMITH 123 45 6789
Credit to:
Henry M. Poulson Jr., the Secretary of the US Treasury and to JAMES JONES Revenue Agent for
the Internal Revenue Service the amount of One million ($1,000,000.00) US dollars.
I, John Henry Smith, principal, surety, owner is held and bound to effect payment to Henry M. Poulson Jr., the Secretary
of the US Treasury and to JAMES JONES Revenue Agent for the Internal Revenue Service the amount of One million
($1,000,000.00) US dollars unless the pass-through account JOHN HENRY SMITH
123 45 6789 shall satisfy any judgment which may be recovered against said pass-through account by Henry M. Poulson
Jr., the Secretary of the US Treasury and JAMES JONES Revenue Agent for the Internal Revenue Service in attachment
the said JOHN HENRY SMITH 123 45 6789 for One million ($1,000,000.00) US dollars for the discharge of said Claim
stated in letter 1058 DO dated 04/23/2007. This bond is returned on the 27 th day of April, 2007.
Bond Order
Negotiate this item through the back office for settlement via the pass-through account JOHN HENRY SMITH
123 45 6789 at the Treasury window, Department of Treasury 1500 Pennsylvania Avenue NW, Washington D. C. 20220,
for settlement and adjustment of letter 1058 (DO) of 04/23/2007.
A dishonor of the above bond is violation of the national bankruptcy.

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John Henry Smith