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TEMPLATE FOR

NOTICE SIGNING-OFF

Yours sincerely,
By,

Justice of the Peace James-John: Bloggs©™


(optional for witnessing your signature) Principal - Primary Creditor -
Sole beneficiary of the original
jurisdiction

No Assured Value - Reserving All Inalienable Rights and All Unalienable God Given Rights,
Powers and Privileges; none waived ever - Without Prejudice -
Without Recourse - Errors and Omissions Excepted - Non-Assumpsit,
with the Autograph.

Attachment:

1. Certified copy of Affidavit in Support of Notice of Default and Opportunity To Cure


2. Certified copy of Registered Post with Delivery Confirmation Mailing Number -
123456789 (or whatever your Reference is)

NOTICE OF JAMES BLOGGS AND Page 6 of 6


DEFAULT AND OPPORTUNITY XYZ & ASSOCIATES
TO CURE & OTHERS

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