03/26/2014

birth state department of health & human services (may vary from state to state), all caps>
<address, in all caps>
<city, state, [zip]>

This NOTICE OF FAULT/MASTER ACCOUNT ENTITLEMENT STATEMENT is a verified

termination of rights of the addressee as of the time of its issuance. Delivery of this
FAULT /MASTER ACCOUNT ENTITLEMENT STATEMENT, of itself, confers no rights on
This NOTICE OF FAULT/MASTER ACCOUNT ENTITLEMENT STATEMENT is neither
instrument nor a security.

record of the
NOTICE OF
the recipient.
a negotiable

Dear Recipient:
WHEREAS the undersigned Claimant, First Middle Last Name, as the authorized representative, salvage
title claimant and secured party to, FIRST MIDDLE LAST NAME, the appropriate person1 and
ENTITLEMENT HOLDER2 of the security entitlement and the superior legal, lawful and equitable
interest in the herein described instruments, vessels, financial assets and derivatives created and
operated there from, first being duly sworn, states the following as true, correct, materially complete,
based on firsthand knowledge, and reserving the sole and exclusive right to the final determination of all
definitions and intent of Claimant contained herein governed by Public Law, Statutes at Large and Divine
Law:
NOTICE IS HEREBY GIVEN that all parties of record have been notified by proper communication 3 of
Claimants entitlement right and given ample grace to bring forth legitimate factual claims. Such verified
NOTICE required from the herein named fiduciary and securities intermediary a full accounting of
outstanding value and claims, provided notice of the divine living status and exemption of the living souls
presented through fictitious entities created without our knowledge.
This NOTICE OF FAULT/MASTER ACCOUNT ENTITLEMENT STATEMENT is final notice to all
concerned, alleged or presumed interest and entitlement holders of the transfer orders 4 and
instructions5 that have been registered in the Commercial Registry, U.C.C. Division, Secretary of State
of the State of <birth state>, c/o UCC Division, <name of secretary of state>, Secretary of State, <birth

state> Department of State, <city, state [zip]>.

The Registered Transfers of the below-listed Securities, Bonds, Contracts, Bills, and the like, are
evidenced by the enclosed FINANCING STATEMENT, NUMBER <File # of first UCC-1 to Secy of
State>, FILED <date of filing from UCC-1>; <time of filing from UCC-1>.
1
2
3
4
5

[U.C.C. 8-107(a)]
[U.C.C. 8-102(7)]
[U.C.C. 8-102(a)(6)(i)]
[U.C.C. 8-102(a)(8)]
[U.C.C. 8-102(a)(9)(i)(12)]

Form NS08092011

Page 1

All verifiable Securities, Bonds, Bills, Contracts, Vessels, Financial Assets, Derivatives, V Accounts and
the like were ordered and instructed to be transferred into PRIVATE Post-Registered Treasury Account
Number RA433313400, Routing Number 217-08-6635 by the appropriate person.
Pursuant to your binding [U.C.C. 8-407 Exchangeability of Securities, U.C.C. 8-301 Delivery, (B)
delivery of an uncertificated security to a purchaser occurs when: (1) the issuer registers the purchaser as
the registered owner upon original issue or registration of transfer, or (2) another person, other than a
securities intermediary, either becomes the registered owner of the uncertificated security on behalf of the
purchaser or, having previously become the registered owner, acknowledges that it holds for the
purchaser.]
Pursuant to your binding [U.C.C. 8-303 Protected Purchaser. (a)protected purchaser means a
purchaser of a certificated or uncertificated security, or of an interest therein, who: (1) gives value, (2)
does not have notice of any adverse claim to the security, (3) obtains control of the certificated or
uncertificated security; (b) in addition to acquiring the rights of a purchaser, a protected purchaser also
acquires its interest in the security free from any adverse claim.]
Whereas Subsection (a) lists the requirements that the purchaser must meet to qualify as a Protected
Purchaser, Subsection(b) provides that a protected purchaser takes its interest free from adverse claims.
A secured party as well as an outright buyer can qualify as a protected purchaser. Also, purchase
includes taking by issue, so a person to whom security is originally issued can qualify as a protected
purchaser.
NOTICE IS HEREBY GIVEN and established that the Salvage Claimant and Secured Party of Record
has TAKEN CONTROL6 of the below-listed Securities, Bonds, Bills, Contracts, Vessels, Financial
Assets, Derivatives, V Accounts, and the like. The Secured Party HAS NOT received ANY NOTICE of
Adverse Claim7 to any of the below-listed items as previously requested. Furthermore, the Salvage
Claimant and Secured Party of Record, is the authorized representative of the Appropriate person with
respect to an indorsement, the registered owner and the person specified by a security certificate; and by
an effective special indorsement to be entitled to the security; and with respect to an instruction, the
registered owner of an uncertificated security; and with respect to an entitlement order, the entitlement
holder. If the person or vessel designated herein is presumed deceased or abandoned, the designated
persons successor in interest, taking under other law or the designated persons personal
representative and executor acting for the estate of the decedent; or if the person designated herein
lacks capacity, the designated persons executor, guardian, conservator, or the other similar representative
has power through recorded codicil and appointment to claim, salvage, and transfer the security, vessel or
financial asset.
Listed below are the Registered and perfected transfer(s) that were authorized to be transferred into
PRIVATE POST REGISTERED TREASURY MASTER ACCOUNT NUMBER # of First Registered Mail
for offset ledgering to Master Account Receivable Routing Number <SSN without dashes>.
1. Previous owner/holder:
Registered Instruments:

BIRTH STATE.
Birth Certificate Number), and
State File Number)
County Registrars Number,
CERTIFICATE OF LIVE BIRTH

6
7

[U.C.C. 8-106]
[U.C.C. 8-102(a)(1)]

Form NS08092011

Page 2

STATE MASTER VAULT

FILE NUMBER:

Birth Certifcate Number;

Filed:

Birth Certificate Filed Date.

Registered Owner:

First Middle Last Name, as Master Priority Secured Party

and salvage claimant, Private Post Registered TREASURY
MASTER ACCOUNT NUMBER <# of first registered mail>.

NOTICE IS HEREBY GIVEN that the above-listed Securities, Bonds, Bills, Contracts, Vessels, Financial
Assets, Derivatives, V Accounts, and the like were TRANSFERRED into PRIVATE POST REGISTERED
TREASURY MASTER ACCOUNT NUMBER<# of first registered mail> for offset ledgering to Master
Account Receivable Routing Number <SSN without dashes>.
The listing above is not limited to, nor contains all of the Securities, Bonds, Bills, Contracts, Derivatives, V
Accounts and the like contained in the Uniform Commercial Code/Commercial Registry, but until the
Secured Party ascertains a full accounting of all outstanding assets that need to be transferred into the
PRIVATE POST REGISTERED TREASURY MASTER ACCOUNT, please regard the herein included
U.C.C filing as the appropriate master account and security record, good faith attempt to balance and
settle all outstanding affairs, the appropriate instructions and entitlement orders, and superior salvage
claim to all property public and private to be used for transferring securities into the PRIVATE MASTER
TREASURY ACCOUNT. Thank-You.
NON-NEGOTIABLE

NON-STANDARD

PAYMENT INSTRUCTION

ENTITLEMENT ORDER

Starting Immediately, all proceeds, Interest, Accounts, Fixtures, Products, Property and the like from the
aforementioned Securities, Bonds, Bills, Contracts, Vessels, Financial Assets, Derivatives, V Accounts
and the like are to be made payable to PRIVATE POST REGISTERED TREASURY MASTER ACCOUNT
by DIRECT, ELECTRONIC, BOOK ENTRY, EFT and ACH DEPOSIT:
ACCOUNT DEBTOR:

FIRST MIDDLE LAST NAME

PRIVATE POST REGISTERED TREASURY ACCOUNT NUMBER:

<# of first registered mail>

ACCOUNT RECEIVABLE ROUTING NUMBER:

<SSN without dashes>

Subscribed,sealed,andaffirmedtothisday,____,month,_________________,andyearof_________,
IherebyaffixmyownsignatureandsealtoalloftheaboveaffirmationswithexplicitreservationofALL
myunalienablerightsandwithoutprejudicetoANYofthoserights Pursuant to U.C.C 1-103, 1-105, 1207,1-308,3-419.

By:__________________________________________
SecuredParty/Executor/Administrator/Trustee

Form NS08092011

Page 3