THIS DOCUMENT HAS A COLORED BACKGROUND AND MICROPRINTING.THE REVERSE SIDE INCLUDES AN ARTIFICIAL WATERMARK.

Payable through:
C E R T I F I E D F U N D S UST 15-51
No. 001112337
BRITTANI PEEDIN 1500 PENNSYLVANIA 000
Remit at Par
Done in good faith AVENUE N.W.
WASHINGTON, D.C. 20220
Date: 1/1/2022
712 S. Howard Avenue
Tampa, Florida [33606]

Pay to the Order of: United States Treasury $ **50,675.00

Fifty Thousand Six Hundred Seventy Five and 00/100********************************************** Dollars Security Features
Included
Details on back

Memo: 123-45-6789 Form 1040 Tax Year 2019

Apply to Principal, Settlement and Closure
Authorized Signature, Without Prejuidice
Exemption 123456789
Reference: Prepaid personal item; exchange acknowledgment, Void where prohibited,
This draft is an offer of tender and discharges the obligation per UCC §§ 1-103, 1-104, 3-603(a)(b), & Public Policy --House Joint Resolution 192 of June 5,
1933.

  

MEMORANDUM
Fiduciary Collector:
***** This Note MUST be Processed/Deposited as a Negotiable Instrument *****
This Note is a Secured Transferable Negotiable Instrument meeting all requirements of U.C.C. -Article 3, as a Money
Order. This Note, credit agreements, bills of exchange and checks are defined as legal tender, or money, by the
statutes such as 12 USC 1813(1}(1), UCC §1-201(24), §3-104, §8-102(9), §9-102(9), (11), (12) b, (49), (64).

Post the uncollected funds into the asset column of this account and charge the offer and acceptance for settlement; prepaid
and exempt when entered in the post-closing Balance
.
This statement constitutes Maker's order to pay this instrument upon presentment and endorsement, As an operation of law,
Payee tacitly consents and agrees that there is accord and satisfaction by use of this instrument to satisfy Payee's claim and
Maker is hereby discharged from liability on this alleged account and the obligation is suspended in accordance with law as
codified at UCC §§ 3-310{b), 3-311 3-603, and Public Policy at House Joint Resolution 192 of June 5, 1933.

Maker does not waive timeliness. However, if Payee needs additional time, Payee must present Maker with a written request
for additional time within a reasonable time, setting forth the reason Payee requests an extension of time, with good cause
shown. The acceptability of any such request received by Maker from Payee is conditional upon approval by Maker
§ 3-311. A C C O R D A N D SATISFACTION B Y US E OF INSTRUMENT.

Should there be any questions, please have your/your Banks "attorneys" handle this matter as they are "legally competent"
to handle a negotiable instrument and understand their workings. Ignorance of the Law is no excuse to mis-process
This Note. If Your Local Branch does not know how to process this Instrument, I would contact a National VP of your Bank
and have them get their Legal team to instruct your local branch on processing this instrument. In the event this instrument
is not presented for payment within a reasonable period of time, and there has been no request for an extension of time
with good cause shown, Payee tacitly consents and agrees that Maker has satisfied/discharged the debt claim re this
alleged account.

Payee tacitly consents and agrees that Payee has a duty to prevent this debt claim/monetary obligation from damaging
Maker in any way, and that Payee confesses judgment and Maker reserves the right to initiate a counterclaim against
Payee, and file a claim against the bond any responsible party, including Payee and all principals, agents, and assignee
of Payee, whose acts/omissions result in tort damages against Maker. Should This Note be dishonored and/or not be
honored, this letter is further presentment and serving as a NOTICE OF DISHONOR in accord with U.C.C. -Article 3,
§3-503: "NOTICE OF DISHONOR! Interference with Commerce Notice - 18 U.S. Code§ 1951
For questions regarding this draft, contact maker by written correspondence:

John-Que Public C/O 1111 Redemption Avenue Any-City, Texas

12345

VersaCheck F or m 1000 Classic (01/17) www.versacheck.com

 THIS DOCUMENT HAS A COLORED BACKGROUND AND MICROPRINTING.THE REVERSE SIDE INCLUDES AN ARTIFICIAL WATERMARK.

Payable through:
C E R T I F I E D F U N D S UST 15-51
No. 1230010231
JOHN QUE PUBLIC 1500 PENNSYLVANIA 000
Done in good faith Remit at Par
1111 Redemption Avenue
AVENUE N.W.
WASHINGTON, D.C. 20220
Date: 12/14/2022
Any-City, Texas 12345

Pay to $ **50,675.00
t h e O r d e r o f United States
Treasury
Fifty Thousand Six Hundred Seventy Five and 00/100********************************************** Dollars Security Features
Included
Details on back

Memo: 123-45-6789 Form 1040 Tax Year 2019

Apply to Principal, Settlement and Closure
Authorized Signature, Without Prejuidice
Exemption 123456789
Reference: Prepaid personal item; exchange acknowledgment, Void where prohibited,
This draft is an offer of tender and discharges the obligation per UCC §§ 1-103, 1-104, 3-603(a)(b), & Public Policy --House Joint Resolution 192 of June 5,
1933.



  0010125

Date Account No. Amount Previous Balance Current Balance

11/01/2022 121212121 $2,751.15

MEMORANDUM
Fiduciary Collector: Post the uncollected funds into the asset column of this account and charge the offer and acceptance
for settlement; prepaid and exempt when entered in the post-closing Balance.
This statement constitutes Maker's order to pay this instrument upon presentment and indorsement,
As an operation of law, Payee tacitly consents and agrees that there is accord and satisfaction by use of this instrument to
satisfy Payee's claim and Maker is hereby discharged from liability on this alleged account and the obligation is suspended in
accordance with law as codified at UCC §§ 3-310{b), 3-311 3-603, and Public Policy at House Joint Resolution 192 of June 5,
1933
Maker does not waive timeliness. However, if Payee needs additional time, Payee must present Maker with a written request
for additional time within a reasonable time, setting forth the reason Payee requests an extension of time, with good cause
shown. The acceptability of any such request received by Maker from Payee is conditional upon approval by Maker.
In the event this instrument is not presented for payment within a reasonable period of time, and there has been no request for
an extension of time with good cause shown, Payee tacitly consents and agrees that Maker has satisfiecVdischarged the debt claim
re this alleged account.
Payee tacitly consents and agrees that Payee has a duty to prevent this debt claim/monetary obligation from damaging Maker in
any way, and that Payee confesses Judgment and Maker reserves the right to initiate a counterclaim against Payee, and file a
claim against the bond any responsible party, including Payee and all principals, agents, and assignee of Payee, whose
acts/omissions result in tort damages against Maker.
For questions regarding this draft, contact maker by written correspondence:
JOEL B CITIZEN 1234 Plantation Drive MY City, MY Slate (12345]
VersaCheck F or m 1000 Classic (01/17)
www.versacheck.com