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CERTIFICATE OF NON-RESPONSE/NON-PERFORMANCE

STATE OF CALIFORNIA )
) ss
COUNTY OF ORANGE )

PRESENTMENT Be it known, that, the person signing below, a duly empowered Notary Public, at the request
John Henry Doe 1234 Record Street, Huntington Beach, CA 92648
of_____________________________ In care of __________________________________________________:
Claimant Address
CONSTRUCTIVE NOTICE OF CONDITIONAL ACCEPTANCE;
March 19, 2010 March 19, 2010
did duly present on ________________ the attachedAFFIDAVIT OF SPECIFIC NEGATIVE AVERMENT
________________________________________________ dated _______________
DAVID JONES, c/o ABC BANK N.A., 1441 BANKERS STREET, NEW YORK, NY 10155
to _____________________________________________________________________________________________________________
Respondent(s)

John Henry Doe Setoff Account No. 123-00463-52; or identify defect in tender
signed by ___________________________ requesting _________________________________________________________________,
the time limit having elapsed for a timely response and/or performance thereto.

DEFAULT Whereupon, the Notary Public signing below, for the reason dishonor by non-response/non-performance, does publicly and
solemnly certify the dishonor as against all parties it may concern by reason of non-response/non-performance thereof and stipulations
therein.
April 22, 2010
NOTICE The undersigned Notary Public, certifies that on ___________________Notice(s) of Fault were sent to the parties noted below
by depositing in a depository of the United States Postal Service within the State indicated herein a sealed envelope containing said Notices(s)
directed to the respective person(s) or entity(ies) at the last known corresponding address noted below:

NAME ADDRESS
DAVID JONES c/o ABC BANK N.A., 1441 BANKERS STREET, NEW YORK, NY 10155
_________________________________ ____________________________________________________________________________

_________________________________ ____________________________________________________________________________

_________________________________ ____________________________________________________________________________

_________________________________ ____________________________________________________________________________

TESTIMONY In testimony of the above, I have signed my name and attached my official seal

___________________________________________
Notary Public
August 24, 2010
My commission expires: __________________
April 22, 2010
Date __________________

Cindy Smith, Notary Public


1234 Record Street
Huntington Beach, CA 92648

CERTIFICATION OF DUE PRESENTMENT OF NOTICE UNDER NOTARY SEAL

Date of Presentment: MARCH 19, 2010

Notice Presented Under Seal: CONSTRUCTIVE NOTICE OF CONDITIONAL ACCEPTANCE


AFFIDAVIT OF SPECIFIC NEGATIVE AVERMENT
PRE-OFFSET NOTICE FOR BALANCED BOOK ADJUSTMENT
PRIVATE BONDED PROMISSORY NOTE # BPN100001
COMPLAINT FOR PERMANENT INJUNCTION AND OTHER RELIEF
I.R.S. Form 1040-V

Notarys Certification: The above-noted parties were presented notice under notary seal that certification of non-performance within
ten (10) days of postmark would comprise their acceptance of the above-indicated liability as holder(s) in due
course of the funds, the time having elapsed for performance thereof, which was refused.

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