You are on page 1of 1

Non-negotiable

Accepted for value & honor


Exempt from levy
Approved for payment
For my remedy, release of the proceeds; products, accounts and fixtures in
the order(s) to deceased estate: JOHN DOE (hereafter debtor)
Registration no. xxxxxxx BC

Immediately in accordance with bills of exchange act 1909 pay to the


order of in “'accord and satisfaction”; by accommodation.

Deposit to the secretary of the treasury


and charge the same to the Debtor id# xxxxxxxx BC

Value: $____________

Authorized agent:_____________________ (creditor)

By: _________________________ Date_____________

All rights reserved.


Deposit to Secretary of the Australian treasury.

You might also like