Upper-Lower: Name Trustee, Executive Trustee

for the Private Contract Trust known as ALL CAPITAL NAME

Through the Notary Public
Notary Name, Notary Witness
Notary Address, City, State, Zip

Your County
Your state
united States of America 1787 AD

NOTICE OF INTERNATIONAL COMMERCIAL CLAIM ab initio ADMINISTRATIVE REMEDY

[28 U.S.C. §§ 1333, 1337]

Registered Mail #

Date: November 1, 2005

LIBELLANT:

Upper-Lower: Name, Trustee, Executive Trustee for the Private Contract Trust known as ALL
CAPITAL NAME
C/o Notary Name, Notary Witness
Address

LIBELLEE:

ALL CAPITAL NAME

ALL CAPITAL Address
CITY, STATE ZIP CODE

CERTIFICATE OF NON RESPONSE

COMMERCIAL OATH AND VERIFICATION

Your County )
) Commercial Oath and Verification
Your State )

I, Notary Name, Notary Witness states under his Commercial Oath proceeding in good faith
being of sound mind states that the facts contained herein are true, correct, complete and certain
that he has not received an answer to his administrative notices.

1. The Notary Witness certifies a NOTICE OF INTERNATIONAL COMMERCIAL CLAIM

WITHIN THE ADMIRALTY AB INITIO ADMINISTRATIVE REMEDY File No.
REGISTERED MAIL # 1, dated DATE, hereinafter “ICC”, along with an Affidavit of Mailing
both notarized and duly recorded by me, were received by Libellee on DATE evidenced
by return receipt Registered Mail # REGISTERED MAIL # 2. I received no response;
2. The Notary Witness certifies that a NOTICE OF FAULT AND DISHONOR AND
OPPORTUNITY TO CURE, dated DATE, along with an Affidavit of Mailing both notarized
and duly recorded by me, were received by Libellee on DATE evidenced by return receipt
Registered Mail # 3 . I received no response;

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CERTIFICATE OF NON-RESPONSE
 3. The Notary Witness certifies that a NOTICE OF DEFAULT AND ASSENT BY NON-
RESPONSE, dated DATE, along with an Affidavit of Mailing both notarized and duly
recorded by me, were received by Libellee on DATE evidenced by return receipt
Registered Mail #REGISTERED # 4. I received no response;
4. This document prepared for Upper-Lower: Name, Trustee, Executive Trustee for the
Private Contract Trust known as ALL CAPITAL NAME.

Given under my hand and seal this the ____________ day of the___________ month Anno
Domini 2007.
Prepared and submitted by:

_________________________________
Notary Name, Notary Witness Seal

JURAT
Your County )
) ss
Your state )

Subscribed before me, __________________________ a Notary Public, this ________day of

_________________________, 2007, upon satisfactory evidence to the identity of the Affiant

Subscribed and Sworn above.

_________________________
Notary Seal

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CERTIFICATE OF NON-RESPONSE