Adam Thomas
Completing an inchoate instrument-statement of account, signed with signature of agent or seal of corporation & create money order. Everything in italics remove. Top left corner. Rubber red ink stamp : Slanted NON NEGOTIABLE NON TRANSFERRABLE WITHOUT RECOURSE
STAMP TWO. RECEIVED DATE........... BY........
ACCEPT FOR VALUE AND SURRENDERED for value for settlement Account exempt from levy Sign.....Date...... Tax exemption Ref. No. (Tfn) 000000000
Surety Bond No. 303 332 xxx Trust certificate No. 0000/ year birth Deposit to Federal Australian Treasury & charge same to HANK SCORPIO 000 000 OOO (TFN) PAY TO ACCOUNT OF (Bank or whoever issued the account ) This works best handwritten