Executor Office.

“FIRST MIDDLE LASTTM”, Estate

Nation “Your State”.
General-Post Office.
General-Post Box - XXXXX.
City - Town.
United States Minor, Outlying Islands.
Near. [XXXXX-9998]

night - of fourth December two-zero one-seven

OFFICE OF THE BUSINESS NAME

MR/S, NAME CFO/TRUSTEE
Address
City, State Certified Mail: 7012 2210 0002 XXXX XXXX
U.S.A. [99999]

To: Office of the CFO/Trustee Business (Payor)

From: The Office of Executor- the “FIRST MIDDLE LASTTM”, Estate. (Recipient)
RE: Request 1099-0IDs Report to Requesting Person for IRS on Tax Years: 2009, 2010,
2011, 2012 & 2013. Account # XXXXXXXXXX

Mr. Name, CFO/Trustee

I __________________________, IRS Tax agent, requesting person, authorized
representative (IRS form 2848), for the “First Middle LastTM” Estate.

Under several Government and IRS publications, instructions and Statutory Laws, Mr.
Name, Chief Financial Officer/Trustee, is require upon “request notice” to file 1099-OID
Interest Income Withholding to the IRS and give to Estate (recipient) a copy B. Enclosed is
a 1099-A copy C, an estimated account amount abandon.

The Banking association saving/checking account number(s) is # XXXXXXXXXX

The details for reporting Original Issued Discounts (OID) information are provided for the
Business/Bank Association and the Trustees in the following Laws, Title 26 CFR 1.671-5(d)
(1)&(2) and IRS Publications:

IRS Instruction’s Laws & Publications

a. Title 26 CFR 1.671-5: Reporting for widely held fixed investment trusts (WHFIT),
b. IRS Publication: General Instruction for Forms 1099, 1098, 5498 & W-2g – Section
“M” “Statements to Recipients (Borrower, Debtors, Donors, Insured's, Participants,
Payer/Borrowers, Policyholders, Students, Transferors, or Winners on Certain
Forms)”,
c. IRS Publication: 1212 OIDs, page 7, Nominees,
d. IRS Publication: Instructions for Forms 1099-INT & 1099-OID – “Specific Instructions
for Form 1099-OID”. Section OID: Reporting OID.

COLLATERAL ASSET REQUIRED IS OID REFUNDABLE

Under the Federal Reserve Act of 1913, banks members/associations via Federal Reserve
Banks and the Treasurer of the United States is holding our original autograph bonds
(Check deposit, Written Checks, Credit Cards receipts & obligations of the U.S.) as
collateral. Therefore, the exchanged “Security Interest’ is reported taxable “Federal
Withholding” to be filed as gross income. (Title 12 USC 412, Application “Operating
Circular No. 10”).
Penalties for not filing OIDs & Redeeming Notes on Demand and Requesting
Notice:

a. Penalties for failure to comply title 26 USC section 6721 & 6722,
b. IRS, Criminal Investigating Department (CID), Form 3949a,
c. Statutes at Large, Volume 13 pages 113, Sec 46 thru 50 - fail to redeem circulating
notes upon demand notice, & Comptroller of the Currency penalties,
d. 18 USC 1621 – Perjury generally.
With that said, Mr. CFO/Trustee, please respond within 14 days from the receipt date of
request. Furthermore, please do your due diligent, so that the 1099-0ID interest/credit
shall be reported to IRS, and mail copy B to Estate (recipient) requesting person and
redeem/setoff credit (Form 1040V) to the Treasury of the United States in trust
(Statutes at Large, Vol. 13 page 105 Sec.19) on the Estate/bank's behalf.
If any of the procedures and/or laws above are incorrect then note the deficiency and
submit changes with Codes, Slip laws or Statutes at large as evidence of correctness.

Mail Return Tax Documents to:

“First Middle LastTM” Estate
P.O. Box XXXXX
City, State XXXXX

govern yourself accordingly

Certified No.
7012 2210 0002 XXXX XXXX IRS Tax Agent___________________________
Requesting Person ID# Date

CC: mail 1st Class

Name, Commissioner of the IRS
Name, Attorney General of Your State
Name, Comptroller of the Currency
Name, Secretary of the Treasury

JURAT

STATE OF ____________)
)ss
COUNTY OF __________ )

On _______date__________ before me, _____notary name____________, “Notary Public”,

personally appeared before me __________affiant______________, who proved to me on
the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to
within this instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies) and that by his/her/their signature on the instrument,
the person(s) or entity upon behalf of which the person(s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of Michigan that the
foregoing paragraph is true and correct.

WITNESS my hand and official seal.

________________________________________________
Notary Signature Date SEAL
Print Name
 References to OIDs (Optional to send. For your References)

e. Publication: Charter One “Personal Deposit Account Agreement, Section 17(c)&(d) – Interest
Withholding. ( Bank’s Policy & Agreement)
f. Publication: Operating Circular No. 10, Application for Interest Income and
definitions.
g. Law: Title 26 USC 6049 – Reported Returns Regarding Payments of Interest.
h. Law: Title 26 CFR 1.1271 thru 1.1273 - Original Issued Discounts (OID) defined and
procedures.
i. Law: Title 26 USC 1271 thru 1274 – Original Issued Discount (OID) determinations.
j. Law: Statutes at Large, Volume 13, page 99 thru 118 – National Currency Act.
k. Law: Title 26 USC 163 & 163(e) – Interest & OID as tax deduction.
l. Law: Title 12: Bank and Banking, 12 USC 412 Applying for FRN, collateral required.

Emergency Banking Act, 73rd Congress, session I, Chapter 1, Title IV Sec. 401.
(Optional for your references)

Sec. 401. The Sixth paragraph of Section 18 of the Federal Reserve Act (1913) is amended to
read as follows:

"Upon the deposit with the Treasurer of the United States, (a) of any direct obligations of the
United States or (b) on any notes, drafts, bills of exchange, or bankers' acceptances acquired
under the provisions of the Act, any Federal reserve bank making such deposit in the manner
prescribed by the Secretary of the Treasury shall be entitled to receive from the Comptroller of
the Currency circulating notes in blank, duly registered and countersigned. When such
circulating notes are issued against the security of obligations of the United States, the
amount of such circulating notes shall be equal to the face value of the direct obligations of
the Unites States so deposited as security; and, when issued against the security of notes,
drafts, bills of exchange and bankers' acceptances acquired under the provisions of this Act,
the amount thereof shall be equal to not more than 90 per cent of the estimated value of such
notes, drafts, bills of exchange and bankers' acceptances so deposited as security."