NOTICE OF DEFAULT

STATE OF CALIFORNIA

)
)

COUNTY OF ORANGE

PRESENTMENT

ss

Be it known, that, the person signing below, a duly empowered Notary Public, at

222 Witness Avenue, Huntington Beach, CA 92648

John Henry Doe
the request of_________________________
In care of ________________________________________________________
Creditor

Address

REQUEST REGARDING A STATEMENT OF ACCOUNT; and

May 28, 2009
COMMERCIAL AFFIDAVIT
did duly present on ________________
the instrument(s) _______________________________________________________
Thomas Q. Smith, Chief Financial Officer, c/o ABC Bank NA, 333 Banker Drive, Columbus, OH 43219
May 28, 2009
dated _______________
to _______________________________________________________________________________
Respondent(s)

Rebuttal or acceptance of Commercial Affidavit; and

John Henry Doe
Rebuttal or acceptance of Request Regarding a Statement of Account
signed by ___________________________
requesting ________________________________________________________,
the time limit having elapsed for acceptance or rebuttal thereof, which was refused by non-performance/non-response.
PROTEST
Whereupon, the Notary Public signing below, for the reason dishonor by non-performance/nonresponse, does publicly and solemnly certify the dishonor as against all parties it may concern for default on the instrument(s),
by reason of non-performance/non-response thereof and stipulations therein.
June 8, 2009
NOTICE
The undersigned Notary Public, certifies that on ___________________Notice(s)
of Default were sent to
the parties noted below by depositing in a depository of the United States Postal Service within the State indicated herein a
sealed envelope containing said Notices(s) directed to the respective person(s) or entity(ies) at the last known corresponding
address noted below:
NAME

ADDRESS

Thomas Q. Smith, Chief Financial Officer

_________________________________

333 Banker Drive

________________________________________________

c/o ABC Bank, National Association

_________________________________

Columbus, OH 43219
________________________________________________

_________________________________

________________________________________________

TESTIMONY

In testimony of the above, I have signed my name and attached my official seal

___________________________________________
Notary Public
August 24, 2010
My commission expires: __________________
June 8, 2008
Date __________________