Scribd
Upload
993 views1 page

AFV Stamp Word

This document is a non-negotiable charge back notice sent to the Secretary of the Treasury. It requests that registration fees be charged to a private UCC contract trust account exempt from levy, using pre-paid preferred stock. The notice provides an exemption identification number, account number, date, and is signed.

Uploaded by

C
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
993 views1 page

AFV Stamp Word

This document is a non-negotiable charge back notice sent to the Secretary of the Treasury. It requests that registration fees be charged to a private UCC contract trust account exempt from levy, using pre-paid preferred stock. The notice provides an exemption identification number, account number, date, and is signed.

Uploaded by

C
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 1

Non-Negotiable Charge Back

Office Holder
Secretary of the Treasury

I accept for value all related endorsements in accordance


with UCC 3-419, HJR-192 and Public Law 73-10.
Charge my Private UCC Contract Trust Account
Exemption Identification # 542657112
for the registration fees and command the memory of
account # 542-65-7112
to charge the same to the Debtor’s Order, or your Order.

Pre-Paid – Preferred Stock


Priority – Exempt from Levy

Posted: DHL Airbill Tracking Number 976688515281


Certified Account – Invoice # 72490811061

By: _______________________________

Date: August 11, 2006

You might also like