Vous êtes sur la page 1sur 3

Option #1

THROUGH JOHN HENRY DOE


123 WEST STREET REMIT AT PAR
MESA, ARIZONA 80000
direct treasury account #: R 792 407 000 - 123456789 DATE ACCOUNT NO. AMOUNT

3/03/03 9798 $3,800.00


CREDIT TO ABC COMPANY, INC.
1111 OVERTHERE STREET
THE ORDER OF TEMPE, AZ 80000 R E G I S T E R E D
Attention: John Snow, Trustee RR 449 331 000 US
Department of the Treasury Three thousand eight hundred 00/100 dollars
1500 Pennsylvania Avenue, NW
Washington, DC 20220

Reference: Prepaid exchange item


Process through the TT&L account by FedWire
Void where prohibited by law _________________________________________

AUTHORIZATION

Bond # 123456789
ψ: 1 2 3 4 5 6 7 8 9 ψ: 0 0 0 1 1 1 1 1 130001 (See attached special processing instructions.)

.........................................................................................................................................................................................................................

Statement of Account

DATE ACCOUNT NO. AMOUNT PREVIOUS BALANCE CURRENT BALANCE

3/03/03 9798 $3,800.00 $3,800.00 ---$0.00---

Fiduciary: This is a noncash discharge item with an attached charging instrument that has been accepted for
value by the principal. It is to be presented through electronic medium by FedWire to access a pre-established
direct treasury account used for this purpose. Post the uncollected funds into the asset column of the customer’s
account and charge the offer and acceptance for settlement, prepaid and exempt when entered to the post
closing balance.
Return to original issue profile is priority exempt after acknowledgement from the principal, a prepaid
exchange, a direct treasury accrual item, and a US bankruptcy proceeding remedy.

IMPORTANT NOTICE:

If you are not the current trustee or beneficiary of the subject deed of trust, notify the Notary immediately, or it
will be presumed that you have accepted this preauthorized transfer, have sufficient authority to act, and have
accepted responsibility as an agent for the duties of the office you formerly held. Retention of this document
constitutes acceptance and intent to perform pursuant to the defeasance clause of said deed of trust.

PROCESSING INSTRUCTIONS
[These instructions must remain attached to the instrument.]
These instructions are based on Regulation J at 12 CFR and portions of 15 USC.

Exchange #: 130001

Certified #: 7002 2030 0007 7521 0000

Registered #: RR 449 331 000 US

Creditor

I have accepted the attached offer for value and am returning it for value with a bill of exchange to settle account # 9798 valued at
3800.00. It could take up to 20 days for this instrument to be processed and your account credited. If the credits are not available after
20 days, please contact me for a Notice of Error to send to your bank.

I am enclosing a copy of the Notice of Preauthorized Transfer I mailed to John Snow with copies of my bill of exchange and your
charging instrument. He is the trustee on the bankruptcy of the United States, and is the only one who has authority to dishonor my bill
of exchange.

Prepare a deposit slip and endorse the bill of exchange on the back as you would a check. Make a copy of the entire package for your
records, and mail all the original documents with the deposit slip to your bank. If your bank informs you that the trustee has
dishonored my bill of exchange, please notify me immediately.

Financial Institution

Deposit the credits in your customer’s account with a hold during the verification period if necessary. The department that handles
the TT&L account for the bank must process this bill of exchange information to John Snow electronically. It is a prepaid exchange
item that must be processed through FedWire directly to John Snow, who is the trustee on the bankruptcy of the US and the one who
handles the accounting on my exemption. You will not receive funds, credits, or money from the US Treasury. The credit is in the
attached instrument. My private asset account is the pass through to the trustee’s approval of the use of my exemption. This is an
accrual entry.

Pertinent Information:

exchange value: 38000.00


direct treasury account #: R 792 407 000 – 123456789
pass through private setoff account #: y: 1 2 3 4 5 6 7 8 9 y: 0 0 0 1 1 1 1 1
exemption identification and bond #: 123456789
creditor: ABC COMPANY, INC
debtor: JOHN HENRY DOE

No other approval is required to honor my bill of exchange. When you do not receive a notice of dishonor from the trustee within 15
days, release the hold on the credits making them available to your customer. If you do receive a notice of dishonor from the trustee,
please notify your customer immediately.

You may direct bill me at the address shown below for any processing fee that might be involved.

Thank You,

____________________________________
John Henry Doe
c/o 123 West Street
Anywhere, ST 67000

Pre-Paid Exchange – Preferred Stock


Priority – Exempt from Levy

Option #2

JOHN HENRY DOE


PO Box 11111
Tucson, AZ 85000

ABC MORTGAGE CO., INC. Certified # 8676 5438 6837 6292 8277
1100 Westward Circle, Suite 101
Winkle, California 90000

Re: Account # 333333333333333333 [or loan number]


Deed recorded at # 6060606, Book 656, Page 87 in Maricopa County, Arizona

PREAUTHORIZED TRANSFER
Certified # 8676 5438 6837 6292 8277
Registration # RR 111 111 111 US

To Whom It May Concern:

I, John Henry Doe, do hereby authorize ABC MORTGAGE CO., INC. and/or an agent thereof, to use my exemption # 123456789
through FedWire to settle the account identified above.

Credit to the Order of: ABC MORTGAGE CO., INC.


Amount: $98,349.00
Ninety-eight thousand three hundred forty-nine and no/100

For Further Credit to: Account # ______________________ [to be supplied by ABC Mortgage Co.]

Debtor: JOHN HENRY DOE 123-45-6789


Set-off Account No.: 123456789 12121212121
Registered with John Snow, Trustee # RR 444 444 444 US

Endorsement ___________________________________________ Date: _________________


Authorized signature of Creditor

_______________________________

John Henry Doe


EIN 123456789

Arizona )

) ss ACKNOWLEDGEMENT

Maricopa county )

I, ________________________________, a Notary Public for said County and State, do hereby certify that John Henry Doe , personally
appeared before me and signed the foregoing. Witness my hand and seal this _______ day of ____________________, 2003.

_____________________________________ ____________________________________
Notary Public My Commission expires

Void Where Prohibited by Law

Vous aimerez peut-être aussi