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Notice of Default

Notice to Agent is Notice to Principal - Notice to Principal is Notice to Agent

Respondent:

Carolyn W. Colvin

D,B.A. Acting Commissioner / Trustee

Social Security Aministration

ABN

!ffice of Pu"lic #n$uiries, Winsor Par% Builing &'()Security Blv. Baltimore *D. +)+

a0

Proponent:

!s1al 2. Nelson

c/o P. !. Bo )&(Cincinnati, !3io 4 '+)& 5

6nite States !f America

Date: ___________ day of, ____________ November, 2013

RE: Adequate Assurance of Debt

Service: !S!"!S! #ER$%&%ED 'A%( !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Statement of Facts:

1. Notice & Demand _____________________, dated______ November 2013, )ereinafter *%nitia+"resentment, -as sent to Res.ondent!

2. /n 1 Dec 2012, t)e %nitia+ "resentment -as faed to t)e Res.ondent on t)e above fa number!

3. /n 1 Nov 2013, %nitia+ "resentment -as mai+ed t)e to t)e Res.ondent via nited States of America"ost Reistered "ost Artic+e %D: _______________________________________ and -as de+ivered

on ___ Nov! 2013!

4. No Sufficient erified Res.onse -as received from t)e addressed Res.ondent -it)in t)e sti.u+atedtimeframe, name+y4

a) 7esponent i not provie proof of claim Proponent s creit car / loan application an or any ot3eroffering "y Proponent incluing "ut not limite to loan agreements, 3ereinafter Application , i not represent a promissory note, valua"le consieration, or a receiva"le, an8

b) 7esponent i not e3i"it all original "oo%%eeping entries, accoring to matc3ing principles or ou"le-entry "oo%%eeping stanars to emonstrate Proponent9s Application 1as not a receiva"le or an asset

transfere from Proponent to 7esponent.

c) 7esponent i not e3i"it eac3 an every original unaltere Application, incluing "ut not limite tocreit car / loan agreements, "earing 1et in% signatures, an8

d) 7esponent i not provie a s1orn af:avit eclaring Application 1as not monetise, an8e) 7esponent i not provie evience 7esponent 1oul actually suffer a loss 1ere no ;repayments9

receive from Proponent.

Aitionally, in orer to esta"lis3 t3at 7esponent is t3e 3oler in ue course of t3e allege e"t0

f) 7esponent i not provie

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7. /n ______ Nov, 2013, Second "resentment -as mai+ed t)e to t)e Res.ondent via Austra+ia "ostReistered "ost Artic+e %D: ____________________________ and -as de+ivered on DD ''' 2013!

8. A Sufficient erified Res.onse to t)e Second "resentment -as not received -it)in t)e sti.u+atedseven 567 ca+endar days as above!

#o.ies of .revious corres.ondence, evidence of mai+in and recei.t is avai+ab+e u.on -ritten request!

Dishonour8y t)e terms of t)e %nitia+ "resentment and t)e Second "resentment, fai+ure, refusa+, si+ence or ne+ect in t)e

.resentment of a Sufficient erified Res.onse constituted Res.ondent s acquiescence and tacit areement

and t)erefore #onfession of 9udement on t)e merits is -arranted!

Confession of Judgement:Res.ondent s Dis)onour is t)eir confession of udement to t)e fo++o-in:

(A)"ro.onent -as t)e u+timate source of funds Res.ondent made avai+ab+e to "ro.onent, and4

(B)Res.ondents demands for *re.ayments constitutes breac) of areement, and4

(C)No overa++ debt .osition eists, and4

(D)"ro.onent does not o-e Res.ondent anyt)in, and4

Actions described in "ro.onents Terms & Conditions 9T-120411 .erformed by Res.ondent )ereafter

constitutes acce.tance of, and t)e enterin into a +a-fu++y bindin contract!

No corres.ondence -i++ be entered into by te+e.)one or in .erson!

%n -itness -)ereof % certify a++ t)e statements made above are true, correct and com.+ete!

$a;e due notice and be overned accordin+y

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Diagram 1

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