Notice by:John-Henry: Smith, Principal

c/o temporary mailing location:

c/o U. S. P. O. Postmaster,

c/o the General Post Office,

at Seattle, county of King,

The State of Washington,

The United States of America, zip exempt

Date of Notice: August ____, A. D. 200____

Notice for:Henry M. Paulson, Jr., Secretary of the Treasury

Department of the Treasury

c/o 1500 Pennsylvania Ave NW

Washington, D.C. 20220

via Registered Mail: RR ___ ___ ___ US, with return receipt

In the matter of:Certificate of Birth No. ___-__-______, Accepted for Value and Exempt from Levy

I, John-Henry: Smith, hereby duly notice Henry M. Paulson, Jr., Secretary of the Treasury, Department of the Treasury, with (1) my acceptance for value of my "Certificate of Birth: numbered: ___-__-______, and (2) the issuance of my Private, Non-Negotiable Bond for Set-off, numbered: RR ___ ___ ___ US. Notice to the Agent is notice to the Principal. Notice to the Principal is notice to the Agent. I am a belligerent claimer of all of my God-given rights. All Rights Reserved.

Enclosed are the following instruments:

1.my original Private, Non-Negotiable Bond for Set-off, numbered: RR ___ ___ ___ US, in the amount

of: "Unlimited dols" and,

2.a certified copy of my "Certificate of Birth", numbered: ___-__-______, duly endorsed as follows:

"Accepted for Value"

"For credit to the Department of the Treasury"

"For further credit to the account of "SMITH, JOHN H.", I.D. No. 123-45-6789"

"U. S. P. S. Registered Mail Tracking No. RR ___ ___ ___ US"

"By: (my signature), Principal, Secured Party and Creditor in Commerce"

"Private Exemption Account No. 12-3456789"

"August ___, A. D. 200___"; and,

3.a copy of my U.C.C. - 1 Financing Statement, duly filed with the Washington Secretary of State at filing

location Number: __________, evidencing my position as Creditor in Commerce.

Please deposit said Bond, numbered: RR ___ ___ ___ US, to the credit of the Department of the Treasury, further credit to the account of "SMITH, JOHN H.", I.D. No. 123-45-6789, as mandated by the Bond Order.

You have been duly noticed.

As my word is my bond;

duly tendered in honor, ____________________________________

By: John-Henry: Smith, Principal,

Secured Party, Creditor in Commerce,

Private Exemption ID #12-3456789

By:

Seal