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3-4 Bonded Promissory Note - Red - 20090819

This document is a registered bonded promissory note for 125% of the amount listed on a statement. It promises to pay the account holder the funds and then use any remaining balance for the benefit of someone else. It routes payment through the Federal Reserve and Treasury Secretary Timothy Geithner. Upon receipt, it instructs the Treasury to discharge any past or future liabilities associated with a Social Security number. The note matures in 180 days and payment will be made from an offset bond held by the Treasury Secretary.

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203 views1 page

3-4 Bonded Promissory Note - Red - 20090819

This document is a registered bonded promissory note for 125% of the amount listed on a statement. It promises to pay the account holder the funds and then use any remaining balance for the benefit of someone else. It routes payment through the Federal Reserve and Treasury Secretary Timothy Geithner. Upon receipt, it instructs the Treasury to discharge any past or future liabilities associated with a Social Security number. The note matures in 180 days and payment will be made from an offset bond held by the Treasury Secretary.

Uploaded by

patiosmamu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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REGISTERED BONDED PROMISSORY NOTE

$125%.00 (amt. from the Statement in numbers)


NEGOTIABLE NEGOTIABLE
125% of Statement United States Dollars (Put the 125% dollar amount in words)
NOTE NUMBER YOURBPNOTE#
USPO REGISTERED MAIL # REGISTERED MAIL #

Pay To The Order Of: ACCOUNT HOLDER, per stirpes

In The Amount Of: ONE HUNDRED TWENTY-FIVE % OF THE AMOUNT ON THE STATEMENT

For Credit To: ACCOUNT HOLDER, For YOURSTRAWMAN NAME, Account Number on Statement,
Exact Dollars and Cents Amount Showing on Statement – Written in words . . . & then in
numbers, plus interest, penalties, and extra fees for the benefit of SOMEONE ELSE’S
STRAWMAN NAME FOR WHOM YOU’RE DISCHARGING A DEBT.
(Put a period after “fees” if for your STRAWMAN. Delete this and all blue info.)

Routing Through: DTC ROUTING NUMBER – FederalReserveBankRouting # (See EXTRAS Folder),


DTC ACCOUNT NUMBER – 0+8NumbersOnBackOfSSNCard,
c/o SECRETARY OF THE TREASURY, TIMOTHY F. GEITHNER

This negotiable instrument, tendered lawfully by Real Man Name, (“Maker”) in good faith shall evidence as a debt
to the Payee pursuant to the following terms: This is an unconditional promise to pay.

1. This Note shall be posted in full dollar for dollar pursuant to the Credit order noted above and presented to the
Payor, THE UNITED STATES DEPARTMENT OF THE TREASURY, c/o TRUSTEE OF THE US
BANKRUPTCY, TIMOTHY F. GEITHNER. After discharge of the debt, the balance of the funds is to be
credited to the ACCOUNT HOLDER to be used for the benefit of the same.

2. Payor shall, upon receipt of this instrument, charge account FULLSS#WITHDASHES via Pass-Through DTC
Routing Number FederalReserveBankRouting #, Account Number 0+8NumbersOnBackOfSSNCard, for the
purpose of terminating any past, present, or future liabilities expressed or implied, attached or attributed to
FullSS#NoDashes. This is a public debt obligation of the United States.

3. Payor shall ledger this Note for a period of six months commencing the start of business on Date of Issue,
until close of business Date of Maturity, not to exceed 180 days, at an interest rate equal to the current rate per
annum.

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 and Discharge Bond Number Offset Bond Number, USPO Registered Mail
Tracking Number, Registered Mail Number From Offset Bond held and secured by TIMOTHY F.
GEITHNER, SECRETARY OF THE US TREASURY. Void where prohibited by law.

VENDOR/ACCT HOLDER NAME Real Man Name


ATTN: CEO or CFO c/o RealManAddress
VENDOR/ACCT HOLDER ADDRESS RealManCity, State near [RMZipCode]
VENDOR/ACCT CITY, STATE ZIP Non-Domestic without the US

Date Signature

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