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