PRVT Reg Indemnity Bond

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PRIVATE REGISTERED INDEMNITY BOND

NON-NEGOTIABLE
BOND NO. JHDIB0001
REGISTERED CALIFORNIA UCC FILE # 10999999999

USPO REGISTERED MAIL # RR123456789US ISSUE DATE: March 16, 2010


VALUE: $300,000,000.00 USD MATURITY DATE: March 15, 2040

Pay To The Order Of: THE UNITED STATES DEPARTMENT OF THE TREASURY
TIMOTHY F GEITHNER, SECRETARY,
For the benefit of the Undersigned Principal
1500 PENNSYLVANIA AVENUE NW
WASHINGTON, DC 20220

For: John Henry Doe Principal


JOHN H DOE Account Holder
Social Security Number: 123-45-6789 Account

By, On, Through:


John Henry Doe, Principal Private Offset Account # 123456789
Edward James Jones, Surety #1 Private Offset Account # 101456789
Private Registered Indemnity Bond # GRAIB0001 USPO REGISTERED MAIL # RR111222333US
Charles William Smith, Surety #2 Private Offset Account # 202456789
Private Registered Indemnity Bond # RTRIB0001 USPO REGISTERED MAIL # RR333222111US

In order to Discharge or Offset debt, to protect Secured Interests, to reserve the right of Remedy, Recourse and Subrogation, and in order
to maintain the Honor of the named Account Holder(s) and Account(s), and to facilitate lawful commercial transactions, and in order to lawfully
engage in commerce within the jurisdiction of THE UNITED STATES DEPARTMENT OF THE TREASURY, this Private Registered Indemnity
Bond, issued to TIMOTHY F GEITHNER, SECRETARY OF THE TREASURY, THE UNITED STATES DEPARTMENT OF THE TREASURY is
necessitated for the benefit of the Undersigned Principal to insure the Sureties against his/her dishonor.
We, John Henry Doe, Principal, and Edward James Jones, Surety, and Charles William Smith, Surety, being Creditors, Sui Juris status,
of sound mind(s), Standing in Honor, with full knowledge and full disclosure, with Honorable Intent, herein hold, bind, and obligate Ourselves,
individually and cooperatively, jointly and severally, as voluntary sureties for the herein named Account Holder(s) and Account(s), each Jointly and
Severally, for any amount(s) up to and including $300,000,000.00 (USD) - Three Hundred Million United States Dollars, for the Honorable
purposes through this Bond, of Underwriting, Insuring, and Indemnifying said Account Holder(s) and Account(s) against any and all pre-existing,
current, and future liabilities through/by Offsetting against this Bond, Dollar for Dollar, all such obligations, which shall include but not be limited
to, any and all underlying and related account(s), agency(s), bond(s), and person(s), public or private, whether named or unnamed, for all aiding(s),
abetting(s), act(s), action(s) (whether civil or criminal), accusations, act(s) of God, advisement(s), affidavit(s), affirmation(s), absconding(s),
admiralty action(s), arrest(s), activity, attestation(s), accident(s), appointment(s), accord(s), agreement(s), bill(s), breach(es) of contract, bond(s),
bankruptcy action(s), baring(s), brokering(s), capture(s), case(s), cause(s), charge(s), claim(s), code(s), collection(s), commercial action(s), common
law action(s), complaint(s), commitment(s), communication(s) (whether Written, Oral, or Electronic, with or without notice), compensatory
damage(s), cost(s), criminal debt(s), contract(s), conspiracy, counterfeiting(s), condemning(s), contributing(s), conveying(s), commission(s),
damage(s), database(s), debt(s), decision(s), default(s), deficit(s), deficiencies, docket(s), document(s), encumbrance(s), equity action(s), error(s),
execution(s), election(s), expense(s), fee(s), file(s), finding(s), fine(s), forfeiture(s), fraud(s), hearing(s), holding(s), information(s), indictment(s),
injury(s), instrument(s), incursion(s), incarceration(s), investigation(s), interrogation(s), In Rem proceeding(s), impeachment(s), judgment(s),
laundering(s), levy(ies), liability(ies), lien(s), loss(es), letter(s), license(s), manufacturing(s), margin(s), negligence(s), notice(s), obligation(s),
obligation(s) of contract, obligation(s) of performance, order(s), option(s), penal action(s), penal debt(s), penal sum(s), pronouncement(s),
probation(s), parole(s), prize(s), process(es), profit(s), regulation(s), reimbursement(s), restitution(s), recidivism(s), recklessness(s), recoupment(s),
rule(s), recovery(s), recrimination(s), regulation(s), regulatory action(s), rescission(s), rebuttal(s), reprisal(s), recourse(s), remedy(s), remediation(s),
statement(s), statute(s), seizure(s), subrogation(s), supervision(s), summoning(s), service(s), tax(es), testimony, TRUE BILL(s), taking(s),
transaction(s), uttering(s), violation(s), and warrant(s), or other named or unnamed liabilities. All such liabilities, duties, obligations, and debts shall
be ledgered against this Bond for Offset by, on/through our Private Offset Account(s) and shall pay, satisfy, offset, and discharge, Dollar for Dollar,
all such obligations fully and completely, thereby restoring and maintaining the Honorable Standing of the named Account Holder(s) and
Account(s) by, on/ through our Private Offset Account(s).

________________ _________________ __________________


Surety #1 Surety #2 Principal

Page 1 of 5 Bond Number JHDIB0001 United States Post Office Registered Mail Number RR123456789US
TIMOTHY F GEITHNER, SECRETARY OF THE TREASURY, THE UNITED STATES DEPARTMENT OF THE TREASURY shall
have 10 (Ten) days from the date of receipt of this Bond, as witnessed by the Date of Receipt affixed to the USPS Return Receipt, to dishonor this
Bond by returning this Bond and Notice of Dishonor with Statement of Reason to the Principal at the stipulated mailing address by USPS
Certified Mail. Failure to return this Bond as stated shall constitute Acceptance and Honoring of this Bond by terms of Contract and constitute
Acceptance and Honoring of all of the associated transactions and adherence to all of the terms and conditions contained herein, in accordance
with the Law, by TIMOTHY F GEITHNER, SECRETARY OF THE TREASURY, AND THE UNITED STATES DEPARTMENT OF THE
TREASURY.

TIMOTHY F GEITHNER, SECRETARY OF THE TREASURY, THE UNITED STATES DEPARTMENT OF THE TREASURY, shall
ledger this Bond as an Asset as best suits the needs of THE UNITED STATES DEPARTMENT OF THE TREASURY, in accordance with the
terms and conditions contained herein for a period of 30 (Thirty) years.

- Remainder of page intentionally left blank. -

________________ _________________ __________________


Surety #1 Surety #2 Principal

Page 2 of 5 Bond Number JHDIB0001 United States Post Office Registered Mail Number RR123456789US
Bond Order
A) TIMOTHY F GEITHNER, SECRETARY OF THE TREASURY, THE UNITED STATES DEPARTMENT OF THE TREASURY shall
offset all pre-existing and current liabilities for the named Account Holder(s) and Account(s) by offset against this Bond, Dollar for Dollar,
jointly and severally, for any amount or cumulative amount(s) up to and including $300,000,000.00 (USD) - Three Hundred Million
United States Dollars, all such obligations which shall Include but not be limited to, any and all underlying and related account(s),
agency(s), bond(s), and person(s), public or private, whether named or unnamed, for all aiding(s), abetting(s), act(s), action(s) (whether
civil or criminal), accusations, act(s) of God, advisement(s), affidavit(s), affirmation(s), absconding(s), admiralty action(s), arrest(s),
activity, attestation(s), accident(s), appointment(s), accord(s), agreement(s), bill(s), breach(es) of contract, bond(s), bankruptcy action(s),
baring(s), brokering(s), capture(s), case(s), cause(s), charge(s), claim(s), code(s), collection(s), commercial action(s), common law
action(s), complaint(s), commitment(s), communication(s) (whether Written, Oral, or Electronic, with or without notice), compensatory
damage(s), cost(s), criminal debt(s), contract(s), conspiracy, counterfeiting(s), condemning(s), contributing(s), conveying(s),
commission(s), damage(s), database(s), debt(s), decision(s), default(s), deficit(s), deficiencies, docket(s), document(s), encumbrance(s),
equity action(s), error(s), execution(s), election(s), expense(s), fee(s), file(s), finding(s), fine(s), forfeiture(s), fraud(s), hearing(s),
holding(s), information(s), indictment(s), injury(s), instrument(s), incursion(s), incarceration(s), investigation(s), interrogation(s), In Rem
proceeding(s), impeachment(s), judgment(s), laundering(s), levy(ies), liability(ies), lien(s), loss(es), letter(s), license(s), manufacturing(s),
margin(s), negligence(s), notice(s), obligation(s), obligation(s) of contract, obligation(s) of performance, order(s), option(s), penal action(s),
penal debt(s), penal sum(s), pronouncement(s), probation(s), parole(s), prize(s), process(es), profit(s), regulation(s). reimbursement(s),
restitution(s), recidivism(s), recklessness(s), recoupment(s), rule(s), recovery(s), recrimination(s), regulation(s), regulatory action(s),
rescission(s), rebuttal(s), reprisal(s), recourse(s), remedy(s), remediation(s), statement(s), statute(s), seizure(s), subrogation(s),
supervision(s), summoning(s), service(s), tax(es), testimony, TRUE BILL(s), taking(s), transaction(s), uttering(s), violation(s), and
warrant(s), or other named or unnamed liabilities. All such liabilities, duties, obligations, and debts shall be ledgered against this Bond for
Offset by, on/ through our Private Offset Account(s) and shall pay, satisfy, offset, and discharge, Dollar for Dollar, all such obligations
fully and completely, thereby restoring and maintaining the Honorable Standing of the named Account Holder(s) and Account(s) by, on/
through our Private Offset Account(s).

B) TIMOTHY F GEITHNER, SECRETARY OF THE TREASURY, THE UNITED STATES DEPARTMENT OF THE TREASURY shall
offset all future liabilities for the named Account Holder(s) and Account(s) by offset against this Bond, Dollar for Dollar, jointly and
severally, for any amount or cumulative amount(s) up to and including $300,000,000.00 (USD) - Three Hundred Million United States
Dollars, all such obligations which shall include but not be limited to, any and all underlying and related account(s), agency(s), bond(s), and
person(s), public or private, whether named or unnamed, for all aiding(s), abetting(s), act(s), action(s) (whether civil or criminal),
accusations, act(s) of God, advisement(s), affidavit(s), affirmation(s), absconding(s), admiralty action(s), arrest(s), activity, attestation(s),
accident(s), appointment(s), accord(s), agreement(s), bill(s), breach(es) of contract, bond(s), bankruptcy action(s), baring(s), brokering(s),
capture(s), case(s), cause(s), charge(s), claim(s), code(s), collection(s), commercial action(s), common law action(s), complaint(s),
commitment(s), communication(s) (whether Written, Oral, or Electronic, with or without notice), compensatory damage(s), cost(s), criminal
debt(s), contract(s), conspiracy, counterfeiting(s), condemning(s), contributing(s), conveying(s), commission(s), damage(s), database(s),
debt(s), decision(s), default(s), deficit(s), deficiencies, docket(s), document(s), encumbrance(s), equity action(s), error(s), execution(s),
election(s), expense(s), fee(s), file(s), finding(s), fine(s), forfeiture(s), fraud(s), hearing(s), holding(s), information(s), indictment(s),
injury(s), instrument(s), incursion(s), incarceration(s), investigation(s), interrogation(s), In Rem proceeding(s), impeachment(s),
judgment(s), laundering(s), levy(ies), liability(ies), lien(s), loss(es), letter(s), license(s), manufacturing(s), margin(s), negligence(s),
notice(s), obligation(s), obligation(s) of contract, obligation(s) of performance, order(s), option(s), penal action(s), penal debt(s), penal
sum(s), pronouncement(s), probation(s), parole(s), prize(s). process(es), profit(s), regulation(s), reimbursement(s), restitution(s),
recidivism(s), recklessness(s), recoupment(s), rule(s), recovery(s), recrimination(s), regulation(s), regulatory action(s), rescission(s),
rebuttal(s), reprisal(s), recourse(s), remedy(s), remediation(s), statement(s), statute(s), seizure(s), subrogation(s), supervision(s),
summoning(s), service(s), tax(es), testimony, TRUE BILL(s), taking(s), transaction(s), uttering(s), violation(s), and warrant(s), or other
named or unnamed liabilities. All such liabilities, duties, obligations, and debts shall be ledgered against this Bond for Offset by, on/
through our Private Offset Account(s) and shall pay, satisfy, offset, and discharge, Dollar for Dollar, all such obligations fully and
completely, thereby restoring and maintaining the Honorable Standing of the named Account Holder(s) and Account(s) by, on/ through our
Private Offset Account(s).

________________ _________________ __________________


Surety #1 Surety #2 Principal

Page 3 of 5 Bond Number JHDIB0001 United States Post Office Registered Mail Number RR123456789US
C) TIMOTHY F GEITHNER, SECRETARY OF THE TREASURY, THE UNITED STATES DEPARTMENT OF THE TREASURY shall
have 10 (Ten) days from the date of receipt of this Bond, as witnessed by the Date of Receipt affixed to the United States Post Office Return
Receipt, to dishonor this Bond by returning this Bond and Notice of Dishonor with Statement of Reason to the Principal at the stipulated
mailing address by USPS Certified Mail. Failure to return this Bond as stated shall constitute Acceptance and Honoring of this Bond by
terms of Contract and constitute Acceptance and Honoring of all of the associated transactions and adherence to all of the terms and
conditions contained herein, in accordance with the Law, by TIMOTHY F GEITHNER, SECRETARY OF THE TREASURY, and THE
UNITED STATES DEPARTMENT OF THE TREASURY.

D) TIMOTHY F GEITHNER, SECRETARY OF THE TREASURY, THE UNITED STATES DEPARTMENT OF THE TREASURY, shall
ledger this Bond as an Asset as best suits the needs of THE UNITED STATES DEPARTMENT OF THE TREASURY, in accordance with
the terms and conditions contained herein for a period of 30 (Thirty) years.

E) The Principal’s stipulated mailing address is:


John Henry Doe
c/o 1234 Sovereign Street
Huntington Beach, California; near [92648]
Non-Domestic without the US

F) This Private Registered Indemnity Bond, Number JHDIB0001, shall expire on Maturity Date: March 15, 2040.

- Remainder of page intentionally left blank. -

________________ _________________ __________________


Surety #1 Surety #2 Principal

Page 4 of 5 Bond Number JHDIB0001 United States Post Office Registered Mail Number RR123456789US
We, as Signatories, to execute this Private Registered Indemnity Bond # JHDIB0001 do hereby affix Our Initial(s), Seal(s), and
Signature(s) to this Bond / Instrument on this 16th day of March in the year of Two Thousand and Ten. Void where
prohibited by law.

________________ _________________ __________________


Surety #1 Surety #2 Principal

/s/ ___________________________
Edward James Jones, Surety #1 Surety #1 Signature

Private Offset Account # 101456789

Surety #1
Seal/Right Thumbprint

/s/ ___________________________

Charles William Smith, Surety #2 Surety #2 Signature

Private Offset Account # 202456789

Surety #2
Seal/Right Thumbprint

/s/ ___________________________

John Henry Doe, Principal Principal Signature

Private Offset Account # 123456789

Principal
Seal/Right Thumbprint

We Solemnly attest as Witnesses, to the authenticity of the foregoing Initials(s), Seal(s), and Signature(s) placed upon this
Document on this, the 16th Day of March in the year Two Thousand and Ten.

Witness #1 _____________________________ Living Location c/o ___________________________________________


(Printed Name)

/s/_____________________________________ ___________________________________________

___________________________________________
Non-Domestic without the US

Witness #2 ______________________________ Living Location c/o ___________________________________________


(Printed Name)

/s/______________________________________ ___________________________________________

__________________________________________
Non-Domestic without the US

Page 5 of 5 Bond Number JHDIB0001 United States Post Office Registered Mail Number RR123456789US

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