NEGOTIABLE INTERNATIONAL PROMISSORY NOTE (UNCITRAL CONVENTION) NEGOTIABLE

Note Number: [PNOTE INTERNAL MADE UP ACCT#] (you make this up) Date:
________________, 20___
Pay to the Order
[CURRENT LENDER] (DELETE -more than enough to cover payoff & expenses)

**** [PROMISSORY NOTE AMOUNT SPELLED OUT] **** DOLLARS

For Private Offset Account #[PRIMARY OWNER SSN WITH DASHES] and [SPOUSE-SSN-WITH-
DASHES]

This instrument is an UNCONDITIONAL INTERNATIONAL PROMISSORY NOTE (UNCITRAL

CONVENTION) tendered by the Undersigned Respondent, [Natural Name-Middle:Last]©, Authorized
Representative, hereinafter "Maker," in good faith, and in accordance with law, as codified at Articles 1-
7, Articles 11, 12, 13, 14(1), Articles 46(3) and Article 47-4(c). and Public Policy at House Joint
Resolution 192 of June 5, 1933, as full satisfaction of a alleged debt claimed and allegedly owed in
favor of Payee herein, i.e. [CURRENT LENDER], d.b.a. a debt collector, as per Payee's/Debt
Collector's Presentment:

On this ___ day of ___________20___, I, [Natural Name-Middle:Last] ©, By this

negotiable instrument governed by UNCITRAL CONVENTION, promise to Pay to [CURRENT
LENDER] [STATED PAYOFF AMOUNT] USD without interest or other charges, Payable on demand
upon presentment of this original instrument properly endorsed on or after _____________________,
20___ AD, at [CURRENT LENDER ADDRESS] , [CURRENT LENDER CITY, STATE, ZIP] Alleged
Creditor: [CURRENT LENDER]; Alleged Account No.: [LOAN NUMBER]; Alleged Amount Due:
[STATED PAYOFF AMOUNT]. A true and correct copy of Presentment is attached hereto, made fully
part hereof, and included herein by reference. This statement constitutes Maker's promise for paying
this instrument upon presentment and Endorsement, at Maker's location.

As an operation of law, Payee/Debt Collector tacitly consents and agrees that there is accord and
satisfaction by use of this instrument for satisfying Payee's/Debt Collector's claim and Maker is hereby
discharged from liability on this alleged account and the obligation is suspended in pursuant to
UNCITRAL CONVENTION codified at Articles 1-7, Articles 11, 12, 13, 14(1), Articles 46(3) and Article
47-4(c).

[PRIMARY OWNER(S) NAME(S)(CAPS)]©TRUST

…………………………………………………………….. DATED _______________, 20___

By, [Natural Name-Middle:Last] (DELETE- person who is choosing to create this note and paying
account)
“As good as Aval” Authorized Representative Secured Party, Without Recourse UCC 1-308
CUSIP # [Natural Person’s SSN (no dashes)] ; For Private Set off Account Number: (DELETE-of party
receiving this payoff grant)
[PRIMARY OWNER(S) NAME(S)(CAPS)] © [PRIMARY OWNER SSN WITH DASHES] [SPOUSE-SSN-WITH-
DASHES]

Witness …………………………………………………..
Witness……………………………………………………
(DELETE-2 WITNESSING SIGNATURES OF Natural person creating this note)

Authorized person indorsing below. Print name and official title when presenting this Instrument for
payment. Government-issued ID with photograph required, i.e. only the following types of ID accepted:
state-issued Drivers License; state-issued Identification Card; Passport.
(DELETE- this section is for the bankers when they receive, accept, and deposit this payment)
PARTY RECEIVING PAYMENT*

_________________________________________
____________________________________
Printed Name of Endorser Form of Photo Identification

_________________________________________
____________________________________
Official Title of Endorser Form of Official Identification

________________________________________
____________________________________
Date of Presentment and Endorsement Signature of Endorser
Right
Thumb Print (red)

Date endorser received document: __________________, 20___

Respondent's Private International Administrative Remedy Demand No. [PNOTE INTERNAL MADE UP
ACCT#]

*Upon delivery of this payment to receiving party, that receiving party has 72 hours (3 business days) to deny or
accept this payment or
return to provider of this payment. Failure to deny and return by that time constitutes acceptance of this payment
in full without recourse,
with full credit for payment due to the account of [PRIMARY OWNER(S) NAME(S)(CAPS)]. This settles the
payment of the above stated
debt in full up to the amount indicated.

VOID WHERE PROHIBITED BY LAW – WITHOUT RECOURSE TO PROVIDER IF NOT ACCEPTED

DELETE – Have the Notary acceptor hold this document along with the IP Note. You will only use this
document if the NOTE ends up actually showing up with the Original note and accepting the IP Note –
there is a VERY rare chance that will happen. In that case, this document acts as instruction to the
lender.
VERIFIED NOTICE OF TENDER OF PAYMENT

Date of Notice: ___________________, 20___

Notice served by: [Natural Person’s SSN (no dashes)]., acting as agent for
[PRIMARY OWNER(S) NAME(S)(CAPS)]©TRUST
c/o [PRIMARY OWNER ADDRESS]
[PRIMARY OWNER CITY, STATE, ZIP]
All rights in commerce are explicitly under reserve and without
recourse

Notice served on: [CURRENT LENDER]

Respondent: c/o [CURRENT LENDER CEO/PRESIDENT/OFFICER]
[CURRENT LENDER ADDRESS], [CURRENT LENDER CITY, STATE, ZIP]

Reference: NOTICE OF FORECLOSURE (OR DEMAND FOR PAYOFF YOU

REQUESTED) Case/Account No. _______________________

Pursuant to DEMAND letter issued instructing [PRIMARY OWNER(S) NAME(S)(CAPS)]©TRUST to

pay a debt in the amount of $[STATED PAYOFF AMOUNT], and in accord with current UNCITRAL
CONVENTION, with said CONVENTION having never been repealed and still being in full force and
effect, and in accord with my private exemption authorized therein for the discharge of debts, I,
[Natural Name-Middle:Last], Sovereign, acting in good faith, with clean hands and at arm’s length,
hereby and herein tender payment for a debt in the amount of [PROMISSORY NOTE AMOUNT $] in full
compliance and full satisfaction of said Order, issued by [CURRENT LENDER], c/o [CURRENT
LENDER CEO/PRESIDENT/OFFICER], instructing [PRIMARY OWNER(S) NAME(S)(CAPS)] to pay a
debt.

In as much as no lawful money of account exists in circulation, and pursuant of current “UNCITRAL
CONVENTION”, [PRIMARY OWNER(S) NAME(S)(CAPS)]©TRUST has no money with which to pay a
debt. Because [PRIMARY OWNER(S) NAME(S)(CAPS)]© TRUST has no money with which to pay a
debt, he has had to resort to tendering a negotiable instrument, pursuant, to the UNCITRAL
CONVENTION Articles 1-7, Articles 11, 12, 13, 14(1), Articles 46(3) and Article 47-4(c). Statement,
issued instructing [PRIMARY OWNER(S) NAME(S)(CAPS)]©TRUST to pay a debt.

As you will note, pursuant to UNCITRAL CONVENTION Articles 1-7, Articles 11, 12, 13, 14(1), Articles 46(3) and
Article 47-4(c), the attached International Promissory Note is an instrument and clearly satisfies the
requirements of [CURRENT LENDER], issued on ___________________, 20___ instructing [PRIMARY
OWNER(S) NAME(S)(CAPS)]©TRUST to pay a debt. Said International Promissory Note is being issued in
good faith, with clean hands and at arm’s length, and is not a dishonor of said Demand. *Upon delivery of this
payment to receiving party, that receiving party has 72 hours (3 business days) to deny or accept this payment
or return to provider of this payment. Failure to deny and return by that time constitutes acceptance of this
payment in full without recourse, with full credit for payment due to the account of [PRIMARY OWNER(S)
NAME(S)(CAPS)]. This settles the payment of the above stated debt in full up to the amount indicated.

Please send me a signed receipt acknowledging receipt of my payment to the above address.

Verification: I declare under penalty of perjury under the laws of the United States of America
that the foregoing is true and correct. Executed on ________________, 20___ AD.

Attachment: Copy of Negotiable Instrument in the form of an International Promissory Note,

Signed in red ink, dated ___________________, 20___ in the amount of [PROMISSORY NOTE
AMOUNT $], issued to [CURRENT LENDER].

Respectfully served, [PRIMARY OWNER(S) NAME(S)(CAPS)]©TRUST

X_______________________________________
By [Natural Name-Middle:Last], Authorized Representative, Without Recourse, All Rights Reserved,
Without Prejudice
CUSIP # [Natural Person’s SSN (no dashes)] Private Set off Account Number [PRIMARY OWNER(S)
NAME(S)(CAPS)] [PRIMARY OWNER SSN WITH DASHES] [SPOUSE-SSN-WITH-DASHES]

OPTIONAL: For mailing a COPY of the International Promissory Note and Registering it.
DELETE: Only send to these agencies directly by registered mail, IF the lender actually brings
the Original Note you requested and picks up the IP note. Directly mail color COPIES of the original
IP Note directly yourself, using REGISTERRED MAIL (not certified) – send just the NOTE. Stamp “
COPY “ on them in color (blue or red). This OPTIONAL process is a good idea because it indicates your
intent to make it an official note and to register the note with appropriate agencies. The return receipts
are essential evidence of that. Try to obtain your registered mail stickers in advance or you may need
to fill them in on the document when sent at the post office. Some post office may require you to, but
and send the Registered mail stamps and mail at the same time. In that case, write in the Registered
mail#, then insert into the envelopes.

US Department of the Treasury Registered mail#

_________________________
1500 Pennsylvania Avenue, NW
Washington, DC 20220
PH 202-622-2000 Fax 202-622-6415

Federal Reserve Bank Headquarters Registered mail#

_________________________
20th Street and Constitution Ave NW
Washington, DC 20551-0001
PH 202-452-3000

Comptroller of the Currency Registered mail#

_________________________
Administrator of National Banks
Washington, DC 20219