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The following is the current, March 2010, "small" AFV stamp verbiage (do it by hand, by computer, by a

rubber stamp). Use it according to all the instructions in the Manual/Disk!! There is only one small AFV
stamp now, not 2.
The lines are "centered." (Look at your manual example.)
Stamp is in red.
Use BLUE to fill in.

Line 1: ACCEPTED FOR VALUE - RETURNED FOR VALUE


Line 2: EXEMPT FROM LEVY - PREPAID COMMON STOCK
Line 3: DISCHARGE ALL PRESENTMENTS AND RELATED FEES
Line 4: ADJUST THE BALANCE TO ZERO
Line 5: PRIVATE PREPAID TREASURY EXEMPTION # FULL SOCIAL SECURITY # NO DASHES
Line 6: CHARGE THE SAME TO: ALL CAP NAME AND FULL SS# WITH DASHES
Line 7: (space line)
Line 8: _Your full-name autograph in blue, wet-ink__
Line 9 under the line: SIGNATURE
Line 8 after the signature line: DATE _________________________

P.S. regarding this stamp.


On the back of the 1040-V, I suggest people always print this out by hand, because if you intend to
make/buy a stamp to use on presentment documents for the BPN packets, and you have all the verbiage
that's on the above 8 lines, most lines will be too long for the backside, endorsement end of the 1040-V
coupon area, so you might end up with 12 lines or 14, etc. If you do want to buy a stamp to use on the
backside/end of the 1040-V, then I'd suggest you have 2 stamps made ....... one with the above info, but
on more lines in order to fit on the end of the 1040-V coupon area.

**********

The following is the AFV Birth Certificate Stamp (use by hand or computer print-out -- but this is scary
with so many having made a mistake . . . . it's only used once so it's suggested to do it by hand with a
ruler for complete control and correctness!!).
Stamp is in red.
Fill-in info is blue.

Line 1: NON-NEGOTIABLE CHARGE-BACK ORDER


Line 2: PRIORITY EXEMPT FROM LEVY - PREPAID COMMON STOCK
Line 3: OFFICE HOLDER SECRETARY OF THE TREASURY
Line 4: (space line)
Line 5: I ACCEPT FOR VALUE ALL RELATED ENDORSEMENTS, PRESENTMENTS, AND FEES IN ACCORDANCE
Line 6: WITH UCC 3-419, HJR 192, PUBLIC LAW 73-10, AND SENATE DOCUMENT 43, 73RD CONGRESS
Line 7: (space line)
Line 8: CHARGE MY PRIVATE PREPAID TREASURY ACCOUNT # FULL SS# NO DASHES
Line 9: (space line)
Line 10: COMMAND THE MEMORY OF: ALL CAP NAME AND FULL SS# WITH DASHES
Line 11: DISCHARGE ALL PRESENTMENTS AND ZERO THE BALANCES
Line 12: (space line)
Line 13: ____Full Name Autograph in blue_______
Line 14 under the line: SIGNATURE
Line 13: DATE: ___________________________

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