Dear Agency

We are submitting the filed U.C.C. documents for your records and to be filed in and reflect on the
master files for YOUR FULL ALL CAPS NAME.

Any and all said debts on any file with your department on the above name need to be removed as they
are falsified by the said persons, corporations or agencies making the claim. Acknowledgements have
been sent to all appropriate governmental agencies so their records may reflect the standing of us as
the only secured party creditor to the debtor ALL CAPS NAME. Any adverse claim need to be sent to us
after proof of claim with a certified copy of said contract/agreement have been submitted to your office
instead of THE ALL CAPS NAME.

If you have any questions, feel free to contact me directly at the below number.

Thank you for your time.

Phone: 000-000-0000

Lowercase Secured Party Creditor Name – an Indigenous Indian

Signature Here

Foreign Grantors Trust Name